Individual
DR. KEVIN M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
944B W FOOTHILL BLVD STE B, UPLAND, CA 91786-3728
(909) 985-2874
(909) 949-8314
Mailing address
944 W FOOTHILL BLVD STE B, UPLAND, CA 91786-3757
(909) 985-2874
(909) 949-8314
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20A4451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A44510
—
CA
Enumeration date
10/06/2006
Last updated
02/04/2015
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