Individual
NIA J JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-4966
Mailing address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
309003
LA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
2021032877
MO
Other
Enumeration date
04/03/2014
Last updated
10/28/2021
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