Individual
DR. JACOB L DEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
502 N FERN ST, SEDGWICK, KS 67135-9338
(210) 383-0017
Mailing address
502 N FERN ST, SEDGWICK, KS 67135-9338
(210) 383-0017
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557807-071
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
59687
NE
Other
Enumeration date
12/09/2009
Last updated
05/29/2026
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