Individual
KATHERINE C JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1431
(859) 323-2222
(859) 323-5090
Mailing address
3140 WARRENWOOD WYND, LEXINGTON, KY 40502-3511
(859) 276-4041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39227
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355058
BC/BS INDIVIDUAL PIN NO
KY
01
—
P00198949
RR MDCR PIN NUMBER
KY
Enumeration date
07/22/2005
Last updated
12/21/2021
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