Orthopaedic Surgery
Dr. KENNETH JACKSON MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578621843 · enumerated 2006-12-05 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI, ROCKVILLE, MD, 20852-4908 (301) 816-6660 Fax (301) 816-6308 Google Maps Apple Maps OpenStreetMap
- Practice location 12255 FAIR LAKES PARKWAY, FAIRFAX, VA, 22033-3952 (703) 934-5905 Fax (703) 934-5778 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · Primary · License 0101038325 VA
In this directory
Locations and evidence
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Practice location
FAIRFAX, VA, 220333952
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.