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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNY JACOBS

Active Sole Proprietor

KENNY JACOBS is a 385HR2055X healthcare provider located in PHOENIX, Arizona. NPI 1447324397 is currently active in the NPPES registry. Verify at CMS.

385HR2055X · PHOENIX, AZ

Registration Details

NPI Number
1447324397
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2006 (19.549886086245 yrs)
Last Updated
Jul 8, 2007
License
10730 (AZ)
Sole Proprietor
Yes

Practice Information

Address
8010 W HILTON AVE
PHOENIX, AZ, 850437420
Browse AZ providers · Browse ZIP 85043
Phone
6233225288
Primary Specialty
385HR2055X
385HR2055X

Other 385HR2055X Providers in PHOENIX, AZ

Name Credential NPI
MR. MARTIN GONZALES 1477627495
FRED MIRANDA 1669546610
EMILY MAXINE ROBINSON 1164596110
VARIE JONES 1073687935
MS. MARGARITA COTA 1386719862
MS. DIANE MACON 1003982703
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.