Jenkins, Kimberly L

Jenkins, Kimberly L is an sole proprietor health care provider with primary practice located at 226 Beach 98Th St # 3 , Rockaway Park NY 11694-2849. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jenkins, Kimberly L can be contacted via phone (718) 569-0508.

Contact Information

Primary practice address
226 Beach 98Th St # 3 Rockaway Park NY 11694-2849
Fax: (833) 318-2363
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 00483595 New York

Profile Details

NPI number 1285298463
LBN Legal business name Jenkins, Kimberly L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2019
Last updated Apr 24th, 2019 - about 5 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 1285298463 NPPES
New York MEDICAID 00483595

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