Individual
KYONG ANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2178 SAVANNAH HWY STE 108, CHARLESTON, SC 29414-5311
(843) 530-7594
Mailing address
PO BOX 323, COTTAGEVILLE, SC 29435-0323
(843) 530-7594
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
561790
SC
Other
Enumeration date
03/21/2019
Last updated
08/04/2020
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