Jenkins, Keith Allen

Jenkins, Keith Allen is an sole proprietor health care provider with primary practice located at 1640 Newport Blvd Ste 110 , Costa Mesa CA 92627-7762. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Jenkins, Keith Allen can be contacted via phone (925) 282-1778.

Contact Information

Primary practice address
1640 Newport Blvd Ste 110 Costa Mesa CA 92627-7762
Phone: (925) 282-1778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19606 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704335557 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95010338 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19606 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95010338 California

Profile Details

NPI number 1700274974
LBN Legal business name Jenkins, Keith Allen
Credentials DNP, PMHNP-BC, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2014
Last updated Mar 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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