Individual
CASEY RICHARD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
303 PROFESSIONAL PARK DR, ARKADELPHIA, AR 71923-5317
(870) 464-1515
(870) 464-1514
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
(870) 464-1514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA867
AR
Other
Enumeration date
12/25/2019
Last updated
01/11/2022
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