Individual
JONATHAN T. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5701 W 119TH ST STE 419, OVERLAND PARK, KS 66209-3721
(913) 498-1444
(913) 667-2759
Mailing address
5701 W 119TH ST STE 419, OVERLAND PARK, KS 66209-3721
(913) 498-1444
(913) 667-2759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-29916
KS
207R00000X
Internal Medicine Physician
Primary
0429916
KS
207R00000X
Internal Medicine Physician
2002028986
MO
208000000X
Pediatrics Physician
04-29916
KS
208000000X
Pediatrics Physician
2002028986
MO
208M00000X
Hospitalist Physician
0429916
KS
208M00000X
Hospitalist Physician
2002028986
MO
Other
Enumeration date
06/23/2006
Last updated
10/26/2017
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