Individual
JEFFREY K JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1211 MAIN ST, HARTFORD, KY 42347-1619
(270) 298-7411
Mailing address
103 RENFROW VALLEY RD, MORGANTOWN, KY 42261-9350
(270) 526-5956
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
084055
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083746
LICENSE
KY
01
—
6415A
ARNP LICENSE
KY
Enumeration date
07/27/2010
Last updated
09/19/2017
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