Individual
JACOB KENNETH WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
2430 RESEARCH PKWY STE 205, COLORADO SPRINGS, CO 80920-1093
(719) 445-6242
(719) 445-6332
Mailing address
2430 RESEARCH PKWY STE 205, COLORADO SPRINGS, CO 80920-1093
(719) 445-6242
(719) 445-6332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
09/11/2025
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