Doctor profile · Federal record
Dr. Kenneth Jackson, MD
Surgery Physician · Otolaryngology Physician · Kansas City, MO
- NPI 1295898179
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
930 Carondelet Dr, Suite 104
Kansas City, MO 641144855
(816) 941-2222
fax (816) 941-2282 - Mailing address
-
930 Carondelet Dr 201
Kansas City, MO 641144698
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- October 15, 2015
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Missouri #2008033152 · Kansas #9406666
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295898179. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | 1 | $15.82 |
By nature of payment
Frequently asked questions
What is Dr. Kenneth Jackson's medical specialty?
Dr. Kenneth Jackson practices Surgery Physician in Kansas City, MO.
Where does Dr. Kenneth Jackson practice?
Dr. Kenneth Jackson practices at 930 Carondelet Dr, Kansas City, MO 641144855. Office phone: 8169412222.
What is Dr. Kenneth Jackson's NPI?
Dr. Kenneth Jackson's National Provider Identifier (NPI) is 1295898179, issued by NPPES.