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KENNETH MARLON JACKSON
NPI 1902612740
Driver in Baton Rouge, LA

Active since December 06, 2024
8630 ANTIOCH RD, BATON ROUGE, LA 70817(504) 667-8133 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kenneth Marlon Jackson NPPES

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

KENNETH MARLON JACKSON (NPI 1902612740) is an individual driver provider in Baton Rouge, Louisiana, licensed in Louisiana (002515859) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1902612740
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameKENNETH MARLON JACKSON
Location Address8630 ANTIOCH RDBaton Rouge, LA 70817-6413
Mailing Address8630 Antioch RdBaton Rouge, LA 70817-6413 · (504) 667-8133
Phone(504) 667-8133
Sole ProprietorYes
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1902612740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in LA · 002515859
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
8630 ANTIOCH RD, Baton Rouge, LA 70817
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1902612740. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Kenneth Jackson located?

Kenneth Jackson practices at 8630 Antioch Rd, Baton Rouge, LA 70817. The listed phone number is (504) 667-8133.

What is Kenneth Jackson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jackson was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.