Individual
BLAKE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
240 WAL MART WAY, MAYSVILLE, KY 41056-7516
(606) 759-0385
(606) 759-0259
Mailing address
240 WAL MART WAY, MAYSVILLE, KY 41056-7516
(606) 759-0385
(606) 759-0259
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
168970
KY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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