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Contact Information

KEN JENKS, PA
421 W ADAMS
NATURITA, CO81422
 Phone: 970-865-2665
 Fax: 970-865-2674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEN JENKS · (Male)

NPI # 1306901186
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/22/2006
Last updated 06/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # PA 1103
  • CO Medicaid 2712462
  • Other 840820573004 ROCKY MTN HMO
  • Other 020250699 WORKERS COMP
  • CO Other JEJ63808 ANTHEM BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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