Individual provider · Type 1 NPI

Paul W. Jenkins, PA-C

Surgical Physician Assistant · Kansas City, MO

NPI number 1477556215 Active

Practice location

4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201

Fax (816) 531-9862

Mailing address

PO Box 7411931
Chicago, IL 60674-1931

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X4138 (SC)
Surgical Physician Assistant 363AS0400X50001399 (OH)
Surgical Physician Assistant Primary 363AS0400X114597 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1477556215

Paul W. Jenkins, PA-C's National Provider Identifier is 1477556215, issued on May 24, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kansas City, MO. The record was last updated on Jun 17, 2025.