Individual
DR. KEYONNA MICOLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 E HOSPITAL RD, FORT GORDON, GA 30813-5741
(067) 873-2867
Mailing address
DWIGHT D EISENHOWER ARMY MEDICAL CENTER, 300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME121166
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
R8385
TX
208VP0014X
Interventional Pain Medicine Physician
R8385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396151801
—
TX
Enumeration date
06/10/2013
Last updated
04/26/2023
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