Healthcare Provider Details

I. General information

NPI: 1992617179
Provider Name (Legal Business Name): JKMW HOLDINGS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8770 N THORNYDALE RD STE 130
TUCSON AZ
85742-9096
US

IV. Provider business mailing address

8770 N THORNYDALE RD STE 130
TUCSON AZ
85742-9096
US

V. Phone/Fax

Practice location:
  • Phone: 520-308-5044
  • Fax:
Mailing address:
  • Phone: 520-308-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN DEAN JENKINS
Title or Position: OWNER, COO
Credential: DC
Phone: 520-308-5044