Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL D. JENKINS, MD
ActiveDR. RANDALL D. JENKINS, MD is a Pediatric Nephrology healthcare provider located in BOISE, Idaho. NPI 1619934213 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nephrology · BOISE, ID
Registration Details
- NPI Number
- 1619934213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.283138870555 yrs)
- Last Updated
- Jan 29, 2016
- Licenses
-
12771 (OR)M-6953 (ID)
Practice Information
- Address
-
100 E IDAHO STSUITE 304BOISE, ID, 83712Browse ID providers · Browse ZIP 83712
- Phone
- 2083817336
- Fax
- 2083817029
- Primary Specialty
-
Pediatric Nephrology
2080P0210X
- Additional Specialty
- Pediatric Nephrology
Other Pediatric Nephrology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JEAN U BENDER | MD | 1316981632 |
| LAURA ELIZABETH WALAWENDER | M.D. | 1518351980 |
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.