Individual
KARI M JACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 KOLBE RD STE 120, LORAIN, OH 44053-1652
(440) 282-7408
(440) 690-2214
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 282-7408
(440) 690-2214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-084438
OH
208000000X
Pediatrics Physician
Primary
35084438
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2490264
BCMH
OH
05
—
2490264
—
OH
Enumeration date
08/13/2006
Last updated
11/20/2020
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