Individual
JOHN K JENKINS
Active
Individual
JOHN K JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
12652
MT
207RR0500X
Rheumatology Physician
14472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115188
—
MS
01
—
110127665
RR MEDICARE
MS
01
—
512I110020
MEDICARE PTAN 2008
MS
01
—
P00462242
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/27/2006
Last updated
09/27/2017
Update your record
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