Jacob Kenneth Wheeler, PA-S
Physician Assistant in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1194359893
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1194359893
- Entity type
- Individual (NPI-1)
- Name
- Jacob Kenneth Wheeler
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2020
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2818 Grand Vista CirColorado Springs, CO 80904-5242
Phone 801-215-9309
Mailing address
1873 W Traverse Pkwy Ste E100Lehi, UT 84048-5985
Phone 801-215-9309
Other practice locations
750 Highland Ave
Madison, WI 53705-2221
Madison, WI 53705-2221
Phone 920-254-0320
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