# JEFFREY A KOBY

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

## Provider details

- **NPI number:** 1871563528
- **Gender:** Man
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 834 | WV | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 03/23/2018

## 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 |