Search › Kentucky › 103K00000X
Jacob Roberts
NPI 1538934674 · on the registry since 2023
Practice
- Address
- 1 Moock Rd
Wilder, KY 41071 - Phone
- (855) 451-5171
- Clinicians at this address
- 23
Additional practice sites
- 3319 Argent Blvd, Ridgeland, SC
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-08
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 Kentucky