JACOB BLEDSOE

KOKOMO, IN
NPI1891360830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  02007505A)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OH  34.016743)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-21
Last Update Date2024-06-13
Business Address
JACOB BLEDSOE DO
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number: 765-452-5611
Mailing Address
JACOB BLEDSOE DO
1425 CHATHAM HILLS BLVD
WESTFIELD, IN 46074-4359
Phone number: 812-296-1111