IndividualActive
John Jacob, MD
NPI 1346690948 · Child & Adolescent Psychiatry Physician · Kalamazoo, MI
Provider details
- NPI number
- 1346690948
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301110446 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone: (734) 560-6224
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.