| Kevin M Jenkins Do Amc | |
|
944 W Foothill Blvd Ste B Upland CA 91786-3757 | |
| (909) 985-2874 | |
| (909) 949-8314 |
| Full Name | Kevin M Jenkins Do Amc |
|---|---|
| Speciality | Internal Medicine |
| Location | 944 W Foothill Blvd Ste B, Upland, California |
| Authorized Official Name and Position | Kevin Michael Jenkins (PRESIDENT) |
| Authorized Official Contact | 9099852874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Jenkins Do Amc 944 W Foothill Blvd Ste B Upland CA 91786-3757 Ph: (909) 985-2874 | Kevin M Jenkins Do Amc 944 W Foothill Blvd Ste B Upland CA 91786-3757 Ph: (909) 985-2874 |
| NPI Number | 1386910321 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 02/04/2015 |
| Medicare PECOS PAC ID | 7618115411 |
|---|---|
| Medicare Enrollment ID | O20130606000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386910321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 20A4451 (California) | Primary |
| Provider Name | Kevin M Jenkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730276163 PECOS PAC ID: 5496783649 Enrollment ID: I20050729000554 |
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