Individual
DR. PAUL ALLEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR, STE 302, EDGEWOOD, KY 41017-5402
(859) 341-2510
(859) 578-5888
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-2510
(859) 578-2004
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32034
KY
207V00000X
Obstetrics & Gynecology Physician
35. 070588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100172830
—
KY
Enumeration date
06/14/2005
Last updated
04/27/2023
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