Individual
DR. C. MITCHELL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4469 WAIALO RD, ELEELE, HI 96705
(808) 335-0579
(808) 335-0581
Mailing address
PO BOX 51014, ELEELE, HI 96705-1014
(808) 335-0579
(808) 335-0581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-7755
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223743
HMA
HI
01
—
2688402
UHA
HI
01
—
542490
ALOHACARE
HI
05
—
54249001
—
HI
01
—
C47570
KAISER
HI
Enumeration date
07/07/2006
Last updated
07/08/2007
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