| Dr Kenneth William Jackson, MD | |
|
12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | |
| (703) 934-5905 | |
| (703) 934-5778 |
| Full Name | Dr Kenneth William Jackson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 12255 Fair Lakes Parkway, Fairfax, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578621843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101038325 (Virginia) | Primary |
| Mailing Address | Practice Location 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 Ph: (301) 816-6660 | Dr Kenneth William Jackson, MD 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 Ph: (703) 934-5905 |
Dr. Greg E Gaski, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd Ste 200, Fairfax, VA 22031 Phone: 703-970-6464 Fax: 703-970-6465 | |
Robert B Stinger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd Ste 200, Fairfax, VA 22031 Phone: 703-205-2626 Fax: 703-205-7324 | |
Dr. George Damon Gantsoudes, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 Phone: 703-876-2788 | |
Brent R Ain, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr, Suite 300, Fairfax, VA 22033 Phone: 703-391-0111 Fax: 703-391-2945 | |
Sohail K Mirza, M.D., M.P.H. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4250 Chain Bridge Rd, Fairfax, VA 22030 Phone: 703-828-6579 Fax: 571-458-7336 | |
Meryl Rutkowski Ludwig, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 Phone: 703-876-2788 | |
Keith Willis Lawhorn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3620 Joseph Siewick Dr, Suite 100, Fairfax, VA 22033 Phone: 703-810-5223 Fax: 703-810-5403 |