Individual
KELLY ANNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2933 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220-1494
(502) 394-5678
(502) 394-5600
Mailing address
PO BOX 776879, CHICAGO, IL 60677-0001
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.145052
OH
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
58034
KY
390200000X
Student in an Organized Health Care Education/Training Program
4351029354
MI
Other
Enumeration date
04/19/2017
Last updated
09/01/2023
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