KENNETH MICHAEL JACOB

FORT MYERS, FL
NPI1437121829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  R3D70)
Enumeration Date2006-02-01
Last Update Date2013-11-13
Business Address
Dr. KENNETH MICHAEL JACOB MD
19460 CALADESI DR
FORT MYERS, FL 33967-5572
Phone number: 913-707-0826
Mailing Address
Dr. KENNETH MICHAEL JACOB MD
19460 CALADESI DR APT/SUITE
FORT MYERS, FL 33967-5572
Phone number: 913-707-0826
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