Individual
DR. JOHN R JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6598
Mailing address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203664
VA
207R00000X
Internal Medicine Physician
Primary
04719
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790030013
—
VA
05
—
7100667890
—
KY
Enumeration date
07/24/2012
Last updated
05/21/2025
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