person
Dr. Kenneth Michael Jacob, MD
Diagnostic Radiology Physician in Fort Myers, Florida
NPI 1437121829

Kenneth Michael Jacob is a Diagnostic Radiology Physician based in Fort Myers, FL and is specialized in Diagnostic Radiology. Kenneth Michael Jacob practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Kenneth Michael Jacob is 1437121829 and holds a License No. R3D70 (Florida).

The current practice location address for Kenneth Michael Jacob is 19460 Caladesi Dr, Fort Myers, FL and can be reached out via phone at 913-707-0826. You can also correspond with Kenneth Michael Jacob through the mailing address at 19460 CALADESI DR, FORT MYERS, FL - 33967-5572 (mailing address contact number: 913-707-0826).

Location: 19460 Caladesi Dr, Fort Myers, FL, 33967-5572
person
Provider Profile Details
NPI Number
1437121829
Provider Name
Kenneth Michael Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19460 Caladesi Dr, Fort Myers, FL, 33967-5572
Phone Number
913-707-0826
Fax Number
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100154570D 05 KS
12485021 01 BCBS
203728035 05 MO
institution
Provider Business Practice Location Address Details
Address
19460 Caladesi Dr
City
State
Zip
33967-5572
Phone Number
913-707-0826
Fax Number
person
Provider Business Mailing Address Details
Address
19460 Caladesi Dr
City
State
Zip
33967-5572
Phone Number
913-707-0826
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
R3D70 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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