IndividualActive
Randall Jenkins, MD
NPI 1619934213 · Pediatric Nephrology Physician · Boise, ID
Provider details
- NPI number
- 1619934213
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12771 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 E Idaho St
Suite 304
Boise, ID 83712
Phone: (208) 381-7336
Fax: (208) 381-7029
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2016-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.