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

DR. CORY J JACOBSEN, MD

Active

DR. CORY J JACOBSEN, MD is a 2083A0100X healthcare provider located in MCCONNELL AFB, Kansas. NPI 1457930265 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · MCCONNELL AFB, KS

Registration Details

NPI Number
1457930265
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2021 (5.3756218405029 yrs)
Last Updated
Nov 19, 2025
Licenses
0101276392 (VA)
0101276392 (VA)

Practice Information

Address
57950 LEAVENWORTH ST
MCCONNELL AFB, KS, 672213505
Browse KS providers · Browse ZIP 67221
Phone
3167596300
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
2083A0100X
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.