Individual
DR. KATHLEEN THERESA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4319 20TH ST W, SUITE 101, BRADENTON, FL 34205-5000
(941) 753-7585
(941) 758-2153
Mailing address
PO BOX 637801, CINCINNATI, OH 45263-7801
(941) 753-7585
(941) 758-2153
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
ME0043904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680451-00
—
FL
Enumeration date
09/25/2006
Last updated
08/25/2014
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