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

Kenneth Mitchell Jacobsohn, MD

Individual provider Urology Physician · NPI 1679772164

Kenneth Mitchell Jacobsohn, MD is an Urology in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2002, 24 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Wisconsin.

Years since qualifying
24
Trained at
Medical College of Wisconsin
Licensed in
CA, WI
In the registry since
2007
Specialties on file
2
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

9200 W Wisconsin Ave Dept OF Urology
Milwaukee, WI 53226-3522
Phone: (414) 805-0805
Fax: (414) 805-0771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 51655-020 (WI)
Urology Physician Taxonomy 208800000X · Licence A98651 (CA)

Record details

NPI number1679772164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESFebruary 1, 2013
Mailing address9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2002 (24 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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