Individual
KAITLIN SAMANTHA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
250 HOSPITAL DR, LEXINGTON, NC 27292-6792
(336) 248-5161
(336) 716-5438
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 248-5161
(336) 716-5438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15564
NC
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/18/2025
Last updated
10/15/2025
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