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NPI Code Detail

MEDICARE: DR. JIMMY W JENKINS MD

MEDICARE: DR. JIMMY W JENKINS MD
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
1207Q00000XFamily Medicine Physician0428695KS
2208M00000XHospitalist Physician04-28695KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
380165464OTHERKSRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2100523OTHERKSBCBS

General Provider Information

NPI Number : 1952493041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIMMY W JENKINS MD
Provider Business Mailing Address
First Line : 1102 SAINT MARYS RD
Second Line :
City : JUNCTION CITY
State : KS
Zip : 66441-4139
Country : US
Telephone Number : 785-238-0325
Fax Number :
Provider Business Practice Location Address
First Line : 1110 SAINT MARYS RD
Second Line :
City : JUNCTION CITY
State : KS
Zip : 66441-4176
Country : US
Telephone Number : 785-762-2585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 01/22/2026

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