Jenkins, Kenyatta Ameer

Jenkins, Kenyatta Ameer is an individual health care provider with primary practice located at 808 S Eldorado Rd Ste 2W , Bloomington IL 61704-6034. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jenkins, Kenyatta Ameer can be contacted via phone (309) 661-0232.

Contact Information

Primary practice address
808 S Eldorado Rd Ste 2W Bloomington IL 61704-6034
Phone: (309) 661-0232
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096003570 Illinois

Profile Details

NPI number 1104246719
LBN Legal business name Jenkins, Kenyatta Ameer
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated Apr 22nd, 2014 - about 10 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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