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NPI Code Detail

MEDICARE: JOHN K JENKINS M.D.

MEDICARE: JOHN K JENKINS M.D.
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
1207RR0500XRheumatology Physician14472MS
2207RR0500XRheumatology Physician12652MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00462242OTHERMSRAILROAD MEDICARE PTAN
2110127665OTHERMSRR MEDICARE
4512I110020OTHERMSMEDICARE PTAN 2008

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245267061
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN K JENKINS M.D.
Provider Business Mailing Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-839-2900
Fax Number : 406-839-2910
Provider Business Practice Location Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-839-2900
Fax Number : 406-839-2910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 09/27/2017

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