Jenkins, Kathy

Jenkins, Kathy is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Jenkins, Kathy can be contacted via phone (617) 355-2793.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-2793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72081 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 72081 Massachusetts

Profile Details

NPI number 1518958404
LBN Legal business name Jenkins, Kathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Nov 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518958404 NPPES
Massachusetts MEDICAID 3114520
Massachusetts Other 604501
Massachusetts MEDICAID KJ03671
Massachusetts MEDICAID 1508016
Massachusetts Other 7613741
Massachusetts Other B20216801
Massachusetts Other 99085901
Massachusetts MEDICAID 300006034
Massachusetts Other 7500149
Massachusetts Other J14168

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