Jenkins, Keyonna Micole

Jenkins, Keyonna Micole is an individual health care provider with primary practice located at 300 E Hospital Rd , Fort Gordon GA 30813-5741. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Jenkins, Keyonna Micole can be contacted via phone (067) 873-2867.

Contact Information

Primary practice address
300 E Hospital Rd Fort Gordon GA 30813-5741
Phone: (067) 873-2867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME121166 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X R8385 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X R8385 Texas

Profile Details

NPI number 1952749103
LBN Legal business name Jenkins, Keyonna Micole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated Apr 26th, 2023 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1952749103 NPPES
Texas MEDICAID 396151801

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