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

JACOB KIRKEENG, PA-C

Active Sole Proprietor

JACOB KIRKEENG, PA-C is a Physician Assistant healthcare provider located in PRESCOTT, Arizona. NPI 1881071751 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PRESCOTT, AZ

Registration Details

NPI Number
1881071751
Provider Type
Individual
Gender
Male
NPI Issued
Apr 29, 2015 (11.285229545942 yrs)
Last Updated
Mar 22, 2023
Sole Proprietor
Yes

Practice Information

Address
724 N MONTEZUMA ST STE A
PRESCOTT, AZ, 863012066
Browse AZ providers · Browse ZIP 86301
Phone
9289252871
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PRESCOTT, AZ

Name Credential NPI
MARK A THIELE PA-C 1992708523
MS. MARIA THERESE BOEDIGHEIMER PA C 1609862275
MS. KAREN LYNN RAFFENSPERGER PA-C 1952387813
SHERI L WAGES CORNELL PA-C 1760457345
MS. VICKIE MARIE ZELLER PA-C 1821050196
DAWN D LAGARY PA-C 1518917327
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.