Individual
DEANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1938 N WOODLAWN ST STE 400, WICHITA, KS 67208-1875
(316) 660-9600
(316) 660-9660
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-22662
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104461
BLUE CROSS BLUE SHIELD
KS
01
—
4109
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
06/12/2006
Last updated
09/26/2024
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