Individual provider · Type 1 NPI

Jacob King

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1417899667 Active

Practice location

4190 City Ave Ste 409
Philadelphia, PA 19131-1629

Call (215) 871-6926 Map

Mailing address

803 Robinson St
East Brady, PA 16028-1125

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417899667

Jacob King's National Provider Identifier is 1417899667, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 7, 2026.