Individual
LUKE KONNOR JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
210 BLACK GOLD BLVD, HAZARD, KY 41701-2620
(606) 487-7000
Mailing address
210 BLACK GOLD BLVD, HAZARD, KY 41701-2620
(606) 487-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2026
Last updated
04/24/2026
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