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

Dr. Jacob Thomas Kingsley, MD

Individual provider Dermatology Physician · NPI 1760112320

Dr. Jacob Thomas Kingsley, MD is a Dermatology Physician in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Dr # TC1910
Ann Arbor, MI 48109-5000
Phone: (734) 615-6874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4351052086 (MI)

Record details

NPI number1760112320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

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