Healthcare Provider Details

I. General information

NPI: 1164327193
Provider Name (Legal Business Name): PJ DENKINS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 ALLISON AVE APT 8
MANHATTAN KS
66502-3228
US

IV. Provider business mailing address

711 ALLISON AVE APT 8
MANHATTAN KS
66502-3228
US

V. Phone/Fax

Practice location:
  • Phone: 832-795-4090
  • Fax:
Mailing address:
  • Phone: 832-795-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: