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Kaitlyn Jacobs

NPI 1073160826 · on the registry since 2019

Practice

Address
2827 N University Dr Apt 107
Waukesha, WI 53188
Phone
(920) 619-2532

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin