1245432798 NPI number — JENKINS & MORROW PLLC

Table of content: (NPI 1245432798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245432798 NPI number — JENKINS & MORROW PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JENKINS & MORROW PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245432798
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
216 FOUNTAIN CT
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40509-1888
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-264-1898
Provider Business Mailing Address Fax Number:
859-685-0118

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
216 FOUNTAIN CT
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40509-1888
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-264-1898
Provider Business Practice Location Address Fax Number:
859-685-0118
Provider Enumeration Date:
06/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JENKINS
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
859-261-1898

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 204E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 61901260 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 65945800 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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