| Kenneth William Jackson, PA | |
|
2 Trillium Way Ste 106, Corbin, KY 40701-8426 | |
| (606) 526-4070 | |
| (606) 526-4072 |
| Full Name | Kenneth William Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2 Trillium Way Ste 106, Corbin, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194587824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TC075 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth William Jackson, PA 2 Trillium Way Ste 106, Corbin, KY 40701-8426 Ph: (606) 526-4070 | Kenneth William Jackson, PA 2 Trillium Way Ste 106, Corbin, KY 40701-8426 Ph: (606) 526-4070 |
Amanda Marie Brandon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way, Suite 306, Corbin, KY 40701 Phone: 606-526-4070 Fax: 606-526-4072 | |
Mrs. Amanda Kathryn Hammons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 306, Corbin, KY 40701 Phone: 606-526-4070 | |
Ms. Melissa Marie Hale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 446 W Cumberland Gap Pkwy, Corbin, KY 40701 Phone: 606-523-1565 Fax: 606-526-4448 | |
Dustin Scott Ammerman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1498 W Cumberland Gap Pkwy, Corbin, KY 40701 Phone: 606-280-7875 | |
Mr. Jon-mark French, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 116 South Commonwealth Avenue, Corbin, KY 40701 Phone: 800-226-8874 | |
Amy L Hicks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Sara Chasteen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Bryan Blvd Ste 200, Corbin, KY 40701 Phone: 606-528-1172 Fax: 606-528-7169 |