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NPI Code Detail

MEDICARE: MRS. KATHERINE ANN JENKINS OTR/L

MEDICARE: MRS. KATHERINE ANN JENKINS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist964NE

General Provider Information

NPI Number : 1558631515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE ANN JENKINS OTR/L
Provider Business Mailing Address
First Line : 12201 FINIGAN ROAD
Second Line :
City : LINCOLN
State : NE
Zip : 68517
Country : US
Telephone Number : 402-467-6307
Fax Number :
Provider Business Practice Location Address
First Line : 1700 FURNAS ST
Second Line :
City : ASHLAND
State : NE
Zip : 68003-1254
Country : US
Telephone Number : 402-944-7031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2012
Last Update Date : 01/09/2012

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