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Individual
JEFFREY A KOBY
Active
Individual
JEFFREY A KOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
834
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712511
BLUE CROSS
WV
05
—
2930625-00
—
FL
05
—
3810000999
—
WV
01
—
550691297
SELECT NET
WV
05
—
636453934A
—
GA
Enumeration date
01/25/2006
Last updated
03/23/2018
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