Provider Demographics
NPI:1477197978
Name:MCFARLAND, JACOB ALLEN DEAN
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:ALLEN DEAN
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 W 137TH ST APT 310
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3378
Mailing Address - Country:US
Mailing Address - Phone:785-230-2817
Mailing Address - Fax:
Practice Address - Street 1:11408 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-9398
Practice Address - Country:US
Practice Address - Phone:913-681-9909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-063212251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports