Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JO JENKO, PA
Active Sole ProprietorKIMBERLY JO JENKO, PA is a Surgical Physician Assistant healthcare provider located in BALTIMORE, Maryland. NPI 1154952497 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BALTIMORE, MD
Registration Details
- NPI Number
- 1154952497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2020 (6.5376560934226 yrs)
- Last Updated
- Mar 14, 2020
- License
-
C0007493 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5601 LOCH RAVEN BLVDBALTIMORE, MD, 212392945Browse MD providers · Browse ZIP 21239
- Phone
- 4105323904
- Fax
- 4105324599
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| MR. DOUGLAS CRANE | PA-C | 1750352415 |
| ELLA M MARTIN | — | 1356314645 |
| MR. JAMES MICHAEL LATHROUM | PA-C | 1659337293 |
| MR. MARK THOMSON BURROWS | PA-C | 1588614390 |
| CHRISTOPHER CHARLES MOSCHELLA | PAC | 1154378719 |
| MR. EDMUND W HOOVEN JR. | PA-C | 1881631174 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.