Provider Demographics
NPI:1366069288
Name:KINSKEY, JACOB CHARLES (MD)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:CHARLES
Last Name:KINSKEY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:ATTN: JACOB KINSKEY, DEPT. OF PATHOLOGY
Mailing Address - Street 2:6550 FANNIN ST STE SM383
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:319-239-4103
Mailing Address - Fax:
Practice Address - Street 1:ATTN: JACOB KINSKEY, DEPT. OF PATHOLOGY
Practice Address - Street 2:6550 FANNIN ST STE SM383
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:319-239-4103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program