Kenyatta Jenkins, ATC

NPI 1104246719 · on the registry since 2014

Practice

Address: 808 S Eldorado Rd Ste 2w
Bloomington, IL 61704
Phone: (309) 661-0232
Organisation at this address: Psychology Specialists Ltd
Truth In Love Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois