KATHRYN ANNE JENKINS PA-C NPI 1578923504

NPI Information

NPI: 1578923504
Provider Name: KATHRYN ANNE JENKINS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1655 BERNARDIN AVE STE 220
COLUMBIA, SC
ZIP 29204
Phone: (803) 409-7170
Get Directions

Kathryn Anne Jenkins, PA-C is a medical physician assistant in Columbia, SC. Kathryn Anne Jenkins, PA-C NPI is 1578923504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1655 BERNARDIN AVE STE 220
COLUMBIA, SC
ZIP 29204-044
Phone: (803) 409-7170
Fax: (803) 409-7175

The NPI 1578923504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 8/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		3361	SOUTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	2991	TENNESSEE	No
3	363AM0700X	Physician Assistant	Medical	3361	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4283PA	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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