Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN SEAN JACOB, O.D.
Active Sole ProprietorDR. KEVIN SEAN JACOB, O.D. is a Optometrist healthcare provider located in DRY RIDGE, Kentucky. NPI 1124173521 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DRY RIDGE, KY
Registration Details
- NPI Number
- 1124173521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2007 (19.368271465293 yrs)
- Last Updated
- Nov 4, 2019
- License
-
1458DT (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 FERGUSON BLVDDRY RIDGE, KY, 410358635Browse KY providers · Browse ZIP 41035
- Phone
- 8598241333
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DRY RIDGE, KY
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHANIE JACOB | O.D. | 1952431199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.