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Individual

CHRISTOPHER IKAIKAMAULOA JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 679-9871

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2024
Last updated
03/11/2026
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