Dr. Randall D. Jenkins
Pediatric Nephrologist
100 E Idaho St Suite 304
Boise
, Idaho 83712
Dr. Randall D. Jenkins
Pediatric Nephrologist
100 E Idaho St Suite 304
Boise
, Idaho 83712
(208) 381-7029
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Randall D. Jenkins
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Fax : (208) 381-7029
- Phone : (208) 706-8449
Second Address
- Dr. Randall D. Jenkins
- 100 E Idaho St Suite 304
- Boise, ID
- Zip : 83712
- Fax : (208) 381-7029
- Phone : (208) 381-7336
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0210X | Pediatric Nephrologist | 12771 | OR |
| Y | 2080P0210X | Pediatric Nephrologist | M-6953 | ID |
National Provider Identifier
| NPI | 1619934213 |
|---|---|
| Provider Name | Dr. Randall D. Jenkins |
| First Address | Boise, ID 83712-6241 |
| Second Address | Boise, ID 83712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 29/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00340150 | (05) | ID |
| 270819 | (05) | OR |
| 8518003 | (05) | WA |
| C66003 | (02) | OR |
| MD7720R | (05) | AL |
| XPY 190107 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.