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Organization

JENKADA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENA JENKINS M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(479) 650-3144
Entity
Organization

Contact information

Practice address
3300 BRIAR CLIFF AVE, FORT SMITH, AR 72908-8309
(479) 424-1949
(479) 424-1946
Mailing address
8113 VALLEY FORGE RD, FORT SMITH, AR 72903-5124
(479) 650-3144
(479) 424-1946

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1195
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128836721
AR
01
5R028
ARKANSAS BCBS
AR
Enumeration date
01/07/2010
Last updated
01/07/2010
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