Individual
DR. JACOB THOMAS KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR # TC1910, ANN ARBOR, MI 48109-5000
(734) 615-6874
Mailing address
1500 E MEDICAL CENTER DR # TC1910, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4351052086
MI
Other
Enumeration date
06/15/2022
Last updated
07/12/2024
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