Provider Demographics
NPI:1821265745
Name:JENKINS, JOSEPH MCKENDRIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MCKENDRIE
Last Name:JENKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1299
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-1299
Mailing Address - Country:US
Mailing Address - Phone:828-295-6424
Mailing Address - Fax:
Practice Address - Street 1:223 WONDERLAND TRAIL
Practice Address - Street 2:
Practice Address - City:BLOWING ROCK
Practice Address - State:NC
Practice Address - Zip Code:28605
Practice Address - Country:US
Practice Address - Phone:910-273-3098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6135208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology