Individual
NATHAN JACOBBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118996
KS
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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