Individual
RICHARD T JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5320 LEWISTON RD,, SUITE 106, LEWISTON, NY 14092-1409
(716) 220-7670
Mailing address
437 VANDERBILT AVE, NIAGARA FALLS, NY 14305-1549
(716) 622-7355
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
290839-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
03/11/2021
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