Individual
TRAVIS LEE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10015 N. AMBASSADOR DRIVE, KANSAS CITY, MO 64153-1365
(816) 595-4000
(816) 595-4001
Mailing address
521 E 117TH ST, KANSAS CITY, MO 64131-3805
(315) 778-8749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1086052
GA
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
05/11/2009
Last updated
05/09/2025
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