Individual
JOHN K JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 839-2900
(406) 839-2910
Mailing address
708 BROADWATER AVE, BILLINGS, MT 59101-2710
(406) 839-2900
(406) 839-2910
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
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