Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 03049 | KS |
Y | 103TR0400X | Rehabilitation Psychologist | 03049 | KS |
NPI | 1124790068 |
---|---|
Provider Name | Dr. Lindsey Danielle Jenkins |
First Address | Kansas City, KS 66160 |
Second Address | Kansas City, KS 66160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2021 |
Last Update Date | 29/09/2021 |