Individual
DR. DARYL KINSHASA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015-4342
(800) 317-0711
(800) 434-7113
Mailing address
9414 MEADOW VALLEY LN, # 104, LOUISVILLE, KY 40291-3954
(502) 327-8988
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333791
ANTHEM BCBS
IN
05
—
200256110
—
IN
Enumeration date
12/13/2005
Last updated
05/09/2008
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