Randall D. Jenkins in Boise - Pediatric Nephrology
Randall D. Jenkins - NPI 1619934213
Randall D. Jenkins is a Pediatric Nephrology in Boise, Idaho. Randall D. Jenkins practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Randall D. Jenkins is 1619934213. The last update date is 2016-01-29.
Randall D. Jenkins's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2087068449 and fax number 2083817029. The mailing address for Randall D. Jenkins is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall D. Jenkins |
|---|---|
| Address | 190 E Bannock St, Boise, Idaho |
| Phone Number | 2087068449 |
| Fax Number | 2083817029 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619934213 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2016-01-29 |
Provider Mailing Address Detail
| Address | 190 E Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126241 |
| Phone Number | 2087068449 |
| Fax Number | 2083817029 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Nephrology |
|---|---|
| Taxonomy | 2080P0210X |
| Licence No | 12771 |
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Definition: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340150 | ID | -- | |
| 270819 | OR | -- | |
| 8518003 | WA | -- | |
| XPY 190107 | CA | -- | |
| MD7720R | AL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Randall D. Jenkins by the Centers for Medicare & Medicaid Services?
The Randall D. Jenkins has been issued the NPI (National Provider Identifier) 1619934213. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randall D. Jenkins is located?
The Randall D. Jenkins is situated at the following address: 190 E Bannock St, Boise, ID, 837126241.
What is Randall D. Jenkins's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randall D. Jenkins is Pediatric Nephrology, and the taxonomy code that categorizes this field of expertise is 2080P0210X.
On what date did the Randall D. Jenkins receive its 1619934213 assignment from the Centers for Medicare & Medicaid Services?
The Randall D. Jenkins was assigned its 1619934213 by the Centers for Medicare & Medicaid Services on 2006-04-27.
When was the information pertaining to Randall D. Jenkins most recently updated or revised?
The details related to Randall D. Jenkins, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY