Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cory J Jacobsen, MD

Individual provider General Practice Physician · NPI 1457930265

Dr. Cory J Jacobsen, MD is a General Practice Physician in McConnell AFB, Kansas. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

57950 Leavenworth St
McConnell AFB, KS 67221-3505
Phone: (316) 759-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Aerospace Medicine Physician (primary) Taxonomy 2083A0100X · Licence 0101276392 (VA)
General Practice Physician Taxonomy 208D00000X · Licence 0101276392 (VA)

Record details

NPI number1457930265
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address57950 Leavenworth St Bldg 250, McConnell Afb, KS 67221-3505

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