Individual
KIMBERLY EMILE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M., C.P.M.
Contact information
Practice address
131 SUNNY GAP RD, CONWAY, AR 72032-8407
(501) 514-1277
(866) 551-1024
Mailing address
131 SUNNY GAP RD, CONWAY, AR 72032-8407
(501) 514-1277
(866) 551-1024
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
012005
AR
Other
Enumeration date
07/04/2008
Last updated
01/19/2010
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