Organization
DR KEVIN M JENKINS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M JENKINS DO (PRESIDENT PHYSICIAN)
(909) 985-2874
Entity
Organization
Contact information
Practice address
944 W FOOTHILL BLVD, SUITE B, UPLAND, CA 91786
(909) 985-2874
(909) 949-8314
Mailing address
944 W FOOTHILL BLVD, SUITE B, UPLAND, CA 91786
(909) 985-2874
(909) 949-8314
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20A4451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A44510
—
CA
Enumeration date
09/24/2008
Last updated
09/24/2008
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