Ken Jackson, P.A.

NPI #1659376341 in Lockney, Texas

Provider Information

NPI Number: 1659376341
Entity Type: Individual
Name: Ken Jackson, P.A.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 17, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 320 N MAIN
City: Lockney
State: Texas
ZIP Code: 79241-0037
Phone: (806) 652-3373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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