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Individual

MR. PAUL W JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4330 WORNALL RD STE 50, KANSAS CITY, MO 64111-3201
(816) 931-3312
(816) 531-9862
Mailing address
PO BOX 7411931, CHICAGO, IL 60674-1931
(816) 931-3312
(816) 531-9862

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4138
SC
363AS0400X
Surgical Physician Assistant
Primary
114597
MO
363AS0400X
Surgical Physician Assistant
50001399
OH

Other

Enumeration date
05/24/2005
Last updated
06/17/2025
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