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Individual
JACOB KANTOR
Active
Individual
JACOB KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
1156726
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4058979
KY
Other
Enumeration date
01/17/2025
Last updated
07/02/2026
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