Individual
JACOB BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 452-5611
Mailing address
1425 CHATHAM HILLS BLVD, WESTFIELD, IN 46074-4359
(812) 296-1111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02007505A
IN
207P00000X
Emergency Medicine Physician
34.016743
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2021
Last updated
06/13/2024
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