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NPI Code Detail

MEDICARE: DR. CHRISTOPHER K JENKINS DO

MEDICARE:  DR. CHRISTOPHER K JENKINS  DO
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 PhysicianOP00002016WA
2207P00000XEmergency Medicine PhysicianOP00002016WA
3207Q00000XFamily Medicine PhysicianO-0442ID

General Provider Information

NPI Number : 1962495994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER K JENKINS DO
Provider Business Mailing Address
First Line : 1025 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4116
Country : US
Telephone Number : 509-525-6650
Fax Number :
Provider Business Practice Location Address
First Line : 1025 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4116
Country : US
Telephone Number : 509-525-0480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 07/11/2013

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Directions to “ DR. CHRISTOPHER K JENKINS DO” Practice Location

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