Individual
MR. KEITH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
109 PENNY RD, HIGH POINT, NC 27260-2500
(336) 821-4000
Mailing address
6254 STONEWICK DR, JAMESTOWN, NC 27282-8758
(336) 267-9096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2015
NC
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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