Individual
DR. KALEIGH IRIS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
1533 S MAIN ST, WINSTON SALEM, NC 27127-2738
(336) 770-3288
Mailing address
105 JOHNSBURY DR, STANLEY, NC 28164-1594
(704) 842-2102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P24753
NC
2255A2300X
Athletic Trainer
LAT-5197
NC
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
03/06/2026
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