Individual
MR. LYLE RAY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 W SYCAMORE ST, KOKOMO, IN 46901-4108
(765) 438-3194
(765) 452-2257
Mailing address
2340 W SYCAMORE ST, KOKOMO, IN 46901-4108
(765) 438-3194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014760
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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