Jackson, Kenneth Conrad
Jackson, Kenneth Conrad is an individual health care provider with primary practice located at 546 Chipeta Way Suite 220, Salt Lake City UT 84108-1236. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Jackson, Kenneth Conrad can be contacted via phone (801) 581-7246.Contact Information
Primary practice address
546 Chipeta Way Suite 220
Salt Lake City UT 84108-1236
Phone: (801) 581-7246
Fax: (801) 581-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 363584-1701 | Utah |
Profile Details
| NPI number | 1275514994 |
|---|---|
| LBN Legal business name | Jackson, Kenneth Conrad |
| Credentials | PHARM.D., R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Gunning, Karen Marie
1138 Wilmington Ave , Salt Lake City UT 84106-2819 -
Young, Elizabeth Wolcott
30 S 2000 E Rm 201, Salt Lake City UT 84112-5820 -
Britton, Laura
127 S 500 E Ste 160 , Salt Lake City UT 84102-2091 -
Dekorte, Carrie
500 Foothill Dr , Salt Lake City UT 84148-0001 -
Neuman, Jody S.
4543 Zarahemla Dr , Salt Lake City UT 84124-4039 -
Shane-Mcwhorter, Laura
461 S 400 E Central City Chc, Salt Lake City UT 84111-3302 -
Kelsey, Kelly A
257 E 200 S Suite 600, Salt Lake City UT 84111-2048 -
Pathak, Ravindra Kumar
500 Foothill Dr Va Salt Lake City Hcs 119A, Salt Lake City UT 84148-0001