Individual
KEVIN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1498 PACIFIC AVE STE 400, TACOMA, WA 98402-4208
(855) 768-6363
Mailing address
1498 PACIFIC AVE STE 400, TACOMA, WA 98402-4208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21542
NH
Other
Enumeration date
06/03/2012
Last updated
02/07/2024
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