Most Relevant Information
Provider Data
| NPI Number: | 1003379355 |
| Provider Name: | KAYLETTE C JENKINS DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2019 |
| Last Updated: | 11/30/2022 |
Provider Practice Location
6 PERRI AVE
MYERSTOWN
PA
170673200
Practice Location Phone/Fax
| Phone: | 7179496581 |
| Fax: | 7179492816 |
Provider Mailing Location
3421 CONCORD RD
YORK
PA
174029001
Provider Mailing Phone/Fax
| Phone: | 7179496581 |
| Fax: | 7179492816 |