Jenkins, Kevin M

Jenkins, Kevin M is an individual health care provider with primary practice located at 944B W Foothill Blvd Ste B , Upland CA 91786-3728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jenkins, Kevin M can be contacted via phone (909) 985-2874.

Contact Information

Primary practice address
944B W Foothill Blvd Ste B Upland CA 91786-3728
Phone: (909) 985-2874
Fax: (909) 949-8314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20A4451 California

Profile Details

NPI number 1730276163
LBN Legal business name Jenkins, Kevin M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Feb 4th, 2015 - about 9 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 1730276163 NPPES
California MEDICAID 020A44510

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