Individual
KRISTY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 VILLAGE RUN, OWENSBORO, KY 42303-4045
(270) 952-5652
Mailing address
2126 VILLAGE RUN, OWENSBORO, KY 42303-4045
(270) 952-5652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R4354
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GO-275
—
KY
Enumeration date
08/24/2013
Last updated
09/23/2013
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