Kelly Jenkins, PEER SUPPORTER
Individual provider Active NPI Peer Specialist · Coal Grove, OH
NPI 1346957537 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1346957537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 425 Marion Pike
Coal Grove, OH 45638-2960 - Phone
- (740) 646-6640
- NPI assigned
- Oct 28, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
425 Marion Pike
Coal Grove, OH 45638-2960
Mailing address
425 Marion Pike
Coal Grove, OH 45638-2960
Phone (740) 646-6640
Other providers in Coal Grove, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.