Search › Oklahoma › 101YA0400X
Keith Jacobs, BA, CMII
NPI 1992160295 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2617 General Pershing Blvd
Oklahoma City, OK 73107 - Phone
- (405) 858-1700
- Fax
- (405) 858-1770
- Organisation at this address
- Variety Care, Inc.
Northrock Pharmacy Llc
North Oklahoma County Mental Health Center
North Oklahoma County Mental Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 258
Additional practice sites
- 1216 Sw 17th St, Oklahoma City, OK
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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 Oklahoma