Dr. Kenneth Jackson M.D.
About this NPIWhat this record shows.
NPI 1073510491 is registered to Dr. Kenneth Jackson M.D., a Family Medicine practising at 1739 E Beverly Ave, Suite 201 in Kingman, Arizona. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Kenneth Jackson M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 209991AZ
Other
- 12522AZ· Issued by LICENSE
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20051027000503Obstetrics/GynecologyAZ
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kenneth Jackson M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Kenneth Jackson M.D. directly at (928) 692-3456.
Frequently asked
Yes. NPI 1073510491 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 692-3456.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kenneth Jackson M.D. is a Type-1 individual NPI.