Individual
KATHLENE JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7700 WASHINGTON VILLAGE DR STE 230, DAYTON, OH 45459-4094
(937) 438-3132
Mailing address
8720 STONECREEK CIR, CENTERVILLE, OH 45458-3219
(937) 825-9825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024199
OH
Other
Enumeration date
01/08/2019
Last updated
02/08/2019
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