# DR. KATHERINE ANNE JACOBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376599712
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 20150 | WV | — |
| 207W00000X | Ophthalmology Physician | 35052754 | OH | Yes |
| 207W00000X | Ophthalmology Physician | MD017041 | LA | — |
| 207W00000X | Ophthalmology Physician | MD447449 | PA | — |
| 207W00000X | Ophthalmology Physician | ME60862 | FL | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 12/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0632088 | — | OH |
| 05 | — | 1027671530001 | — | PA |
| 01 | — | 107166 | KAISER | OH |
| 01 | — | 140766 | ANTHEM PIN \# | OH |
| 01 | — | E52754 | SUMMA HEALTH CARE | OH |