Provider Demographics
NPI:1558536193
Name:JENKINS, FRANK EVAN (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EVAN
Last Name:JENKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 JEFFCO BLVD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-2141
Mailing Address - Country:US
Mailing Address - Phone:636-296-6840
Mailing Address - Fax:636-296-6840
Practice Address - Street 1:1435 JEFFCO BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-2141
Practice Address - Country:US
Practice Address - Phone:636-296-6840
Practice Address - Fax:636-296-6840
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO003680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor