Individual
DR. KENT L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 S PARKER RD, STE 206, AURORA, CO 80014-1622
(303) 306-7783
(303) 306-7753
Mailing address
2550 S PARKER RD, STE 206, AURORA, CO 80014-1622
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25429
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01254291
—
CO
Enumeration date
12/21/2005
Last updated
04/25/2011
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