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Individual

KIMBERLY JO JENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(410) 532-3904
(410) 532-4599
Mailing address
434 LEWIS ST NW, VIENNA, VA 22180-4102

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0007493
MD

Other

Enumeration date
01/27/2020
Last updated
03/14/2020
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