Individual
DR. ROBERT A JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 BLUEGRASS AVE, SUITE 300, LOUISVILLE, KY 40215-1144
(502) 361-1222
(502) 368-1258
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 361-1222
(502) 368-1258
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17749
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64177496
—
KY
Enumeration date
07/26/2006
Last updated
11/24/2010
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