Kelly Jenkins, PEER SUPPORTER

NPI #1346957537 in Coal Grove, Ohio

Provider Information

NPI Number: 1346957537
Entity Type: Individual
Name: Kelly Jenkins, PEER SUPPORTER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PEER SUPPORTER
Enumeration Date: Oct 28, 2022
Last Updated: Oct 28, 2022

Practice Location

Address: 425 MARION PIKE
City: Coal Grove
State: Ohio
ZIP Code: 45638-2960
Phone: (740) 646-6640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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