National Provider Identifier

Richard T Jenkins, M.D.

Richard T Jenkins, M.D. is listed in the NPPES registry with a primary specialty of Nephrology Physician in Lewiston, NY and a listed phone number of (716) 220-7670.

NPI 1164840369Lewiston, NYNephrology Physician

Profile Overview

NPI
1164840369
Provider Type
Individual
Primary Specialty
Nephrology Physician
Enumeration Date
April 03, 2014
Last Updated
March 11, 2021

Practice Location

  • 5320 Lewiston RD,
  • Suite 106
  • Lewiston, NY 14092-1409

Phone: (716) 220-7670

Mailing Address

  • 437 Vanderbilt Ave
  • Niagara Falls, NY 14305-1549

Specialties

  • Nephrology Physician (207RN0300X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1164840369
Entity Type
Individual
Last Name
Jenkins
First Name
Richard
Middle Name
T
Credential
M.D.
Mailing Street Address
437 Vanderbilt Ave
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14305-1549
Mailing Country
US
Mailing Phone
(716) 622-7355
Practice Street Address
5320 Lewiston RD,
Practice Address Line 2
Suite 106
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1409
Practice Country
US
Practice Phone
(716) 220-7670
Enumeration Date
April 03, 2014
Last Updated
March 11, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
October 21, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nephrology Physician (207RN0300X), Student in an Organized Health Care Education/Training Program (390200000X)