Individual
DAVID KERWIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1312 BELLONA AVE STE 302, LUTHERVILLE, MD 21093-5436
(410) 377-8900
Mailing address
1312 BELLONA AVE STE 302, LUTHERVILLE, MD 21093-5436
(410) 377-8900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D91262
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D91262
MD
Other
Enumeration date
04/04/2016
Last updated
07/11/2023
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