Individual
KAREN J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1509 HAWKSVIEW DR, MARION, IN 46952-1583
(765) 661-2530
Mailing address
1509 HAWKSVIEW DR, MARION, IN 46952-1583
(765) 661-2530
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
02002238A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001045074
ANTHEM
IN
05
—
200283250A
—
IN
Enumeration date
10/28/2005
Last updated
09/23/2024
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