Individual
DR. CORY J JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-6300
Mailing address
57950 LEAVENWORTH ST BLDG 250, MCCONNELL AFB, KS 67221-3505
(316) 759-6300
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0101276392
VA
208D00000X
General Practice Physician
0101276392
VA
Other
Enumeration date
04/07/2021
Last updated
11/19/2025
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