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Individual

JACOB KJELLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1800
(707) 423-5129
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1800
(707) 423-5129

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A145633
CA
207RH0003X
Hematology & Oncology Physician
Primary
A145633
CA

Other

Enumeration date
03/22/2015
Last updated
01/12/2026
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