Individual
KENNETH RUSSELL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
915 N ST SE, WASHINGTON, DC 20374-5162
(202) 225-5421
(202) 226-8469
Mailing address
915 N ST SE, WASHINGTON, DC 20374-5162
(202) 225-5421
(202) 226-8469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02905000
NJ
Other
Enumeration date
11/24/2010
Last updated
04/10/2015
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