Kristal Dawn Jenkins in Prestonsburg - Psychologist
Kristal Dawn Jenkins - NPI 1396917639
Kristal Dawn Jenkins is a Psychologist in Prestonsburg, Kentucky. Kristal Dawn Jenkins practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kristal Dawn Jenkins is 1396917639. The last update date is 2019-10-31.
Kristal Dawn Jenkins's current location address is 104 S Front Ave, Prestonsburg, Kentucky. You can contact this provider via phone number 6068864350 and fax number 6068864433. The mailing address for Kristal Dawn Jenkins is 104 S Front Ave, Prestonsburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristal Dawn Jenkins |
|---|---|
| Address | 104 S Front Ave, Prestonsburg, Kentucky |
| Phone Number | 6068864350 |
| Fax Number | 6068864433 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1396917639 |
|---|---|
| Provider Enumeration Date | 2008-03-27 |
| Last Updated Date | 2019-10-31 |
Provider Mailing Address Detail
| Address | 104 S Front Ave |
|---|---|
| City | Prestonsburg |
| State | Kentucky (KY) |
| Post Code | 416531614 |
| Phone Number | 6068864350 |
| Fax Number | 6068864433 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1583 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Kristal Dawn Jenkins by the Centers for Medicare & Medicaid Services?
The Kristal Dawn Jenkins has been assigned the NPI (National Provider Identifier) 1396917639. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kristal Dawn Jenkins's facilities are situated?
The facilities of Kristal Dawn Jenkins are physically located at the following address: 104 S Front Ave, Prestonsburg, KY, 416531614.
What is Kristal Dawn Jenkins's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristal Dawn Jenkins's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Kristal Dawn Jenkins receive the assignment of its 1396917639 from the Centers for Medicare & Medicaid Services?
The Kristal Dawn Jenkins was issued its 1396917639 by the Centers for Medicare & Medicaid Services on 2008-03-27.
As of what date were the details related to Kristal Dawn Jenkins most recently updated or revised?
The information pertaining to Kristal Dawn Jenkins, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-31.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH