| Doctor Name: | VICKY L JENIK |
| NPI Number: | 1326175399 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 80465 |
| Business Practice Address: | 2045 Franklin St Denver, CO - 802055437 |
| Business Phone Number: | 3037435855 |
| Business Fax Number: | |
| Mailing Address: | 13042 Jersey St, THORNTON |
| State: | CO |
| Postal Code: | 806029100 |
| Phone Number: | 3034699342 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 80465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |