Individual
WESLEY KEVIN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 COLUMBIA HWY STE D, GREENSBURG, KY 42743-1175
(270) 299-2467
Mailing address
407 COLUMBIA HWY STE D, GREENSBURG, KY 42743-1175
(270) 299-2467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011821
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011821
KY STATE PHARMACIST LIC.
KY
Enumeration date
05/07/2007
Last updated
07/08/2007
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