KENNETH WILLIAM JACKSON

FAIRFAX, VA
NPI1578621843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: VA  0101038325)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
Dr. KENNETH WILLIAM JACKSON MD
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033-3952
Phone number: 703-934-5905
Mailing Address
Dr. KENNETH WILLIAM JACKSON MD
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660