Individual
KENYON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1038 ASHLAND AVE, CHICAGO HEIGHTS, IL 60411-2505
(708) 475-8041
Mailing address
1038 ASHLAND AVE, CHICAGO HEIGHTS, IL 60411-2505
(708) 475-8041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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