Kenyon Jackson
NPI #1700571056 in Oxnard, California
Provider Information
- NPI Number
- 1700571056
- Entity Type
- Individual
- Name
- Kenyon Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Apr 11, 2023
- Last Updated
- Apr 29, 2025
Practice Location
- Address
- 1911 WILLIAMS DR
- City
- Oxnard
- State
- California
- ZIP Code
- 93036-2612
- Phone
- (972) 415-5651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Rehabilitation Practitioner |
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