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Individual

KRISTA E JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
20 PROGRESS POINT PKWY STE 108, O FALLON, MO 63368-2207
(636) 577-1493
(618) 498-7518
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004248
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085004248
LICENSE NUMBER
IL
Enumeration date
01/16/2012
Last updated
09/19/2025
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