Doctor Name: | KERI N. JACOBS |
NPI Number: | 1104952308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | D0071130 |
Business Practice Address: | 100 Brown St Chestertown, MD - 216201435 |
Business Phone Number: | 4107787668 |
Business Fax Number: | 4107787650 |
Mailing Address: | 100 Brown St, CHESTERTOWN |
State: | MD |
Postal Code: | 216201435 |
Phone Number: | 4107787668 |
Fax Number: | 4107787650 |
NPI Enumeration Date: | 02/24/2007 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | D0071130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |