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KENNETH JACKSON PA-C
NPI 1033238936
Physician Assistant - Medical in Berkley, MI

Active since March 29, 2007
27901 WOODWARD AVE, SUITE 300, BERKLEY, MI 48072(248) 837-2443 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Jackson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH JACKSON PA-C (NPI 1033238936) is an individual medical provider in Berkley, Michigan, licensed in Michigan (5601001747) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1033238936
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKENNETH JACKSONCredential: PA-C
Location Address27901 WOODWARD AVE, SUITE 300Berkley, MI 48072-0919
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · Fax (947) 522-0307
Phone(248) 837-2443
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1033238936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601001747
27901 WOODWARD AVE, Berkley, MI 48072
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAHER RABAH DO
Internal Medicine (Interventional Cardiology)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
CARDIOLOGY ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR RICHARD L GRANT P L C
Podiatrist
27901 WOODWARD AVE, SUITE 110
BERKLEY, MI 48072
Oakland County (248) 545-0100
DR. ANDREW HAUSER M.D.
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
SANJAY DOGRA MD PLLC
Internal Medicine (Pulmonary Disease)
27901 WOODWARD AVE, SUITE 220
BERKLEY, MI 48072
Oakland County (248) 556-5582
DR. JAMES R STEWART M.D.
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR. AMR ABBAS M.D.
Internal Medicine (Interventional Cardiology)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR. RICHARD E GORDON D.O.
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Jackson's NPI number?

The NPI number for Kenneth Jackson is 1033238936. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Kenneth Jackson located?

Kenneth Jackson practices at 27901 Woodward Ave Suite 300, Berkley, MI 48072. The listed phone number is (248) 837-2443.

What is Kenneth Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Jackson was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.