Provider Demographics
NPI:1316971344
Name:KENYON-JUMP, RITA B (PHD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:B
Last Name:KENYON-JUMP
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:5500 ARMSTRONG RD
Mailing Address - Street 2:DEPT. OF VETERANS AFFARIS MEDICAL CENTER (116A)
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-1014
Mailing Address - Country:US
Mailing Address - Phone:269-966-5600
Mailing Address - Fax:269-660-3063
Practice Address - Street 1:5500 ARMSTRONG RD
Practice Address - Street 2:DEPT. OF VETERANS AFFARIS MEDICAL CENTER (116A)
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-1014
Practice Address - Country:US
Practice Address - Phone:269-966-5600
Practice Address - Fax:269-660-3063
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI6301008010103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical