Individual
DR. HARVEY CLARKE JENKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8603 S WESTERN AVE, OKLAHOMA CITY, OK 73139-9200
(405) 686-1700
(405) 686-1555
Mailing address
8603 S WESTERN AVE, OKLAHOMA CITY, OK 73139-9200
(405) 686-1700
(405) 686-1555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21473
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034590A
—
OK
01
—
175793900
DEPARTMENT OF LABOR
OK
01
—
200043654
RAILROAD MEDICARE
OK
01
—
37D1102406
CLIA WAIVED LABORATORY ID
OK
01
—
731620950
TAX ID #
OK
Enumeration date
06/12/2006
Last updated
01/04/2012
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