Individual
DR. HARVEY CLARKE JENKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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