Jenkins, Keyonna Micole
Jenkins, Keyonna Micole is an individual health care provider with primary practice located at 300 E Hospital Rd , Fort Gordon GA 30813-5741. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Jenkins, Keyonna Micole can be contacted via phone (067) 873-2867.Contact Information
Primary practice address
300 E Hospital Rd
Fort Gordon GA 30813-5741
Phone: (067) 873-2867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME121166 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | R8385 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | R8385 | Texas |
Profile Details
| NPI number | 1952749103 |
|---|---|
| LBN Legal business name | Jenkins, Keyonna Micole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2013 |
| Last updated | Apr 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952749103 | NPPES |
| Texas | MEDICAID | 396151801 |
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