Search › Indiana › 224Z00000X
Kelly Jenkins
NPI 1295270411 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1231 Woodfield Ave
South Bend, IN 46615 - Phone
- (574) 222-8786
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-23
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 Indiana