Jensen, Kelly Ann

Jensen, Kelly Ann is an individual health care provider with primary practice located at 3920 Outlook Rd , Sunnyside WA 98944-9202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jensen, Kelly Ann can be contacted via phone (509) 837-1676.

Contact Information

Primary practice address
3920 Outlook Rd Sunnyside WA 98944-9202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60327115 Washington

Profile Details

NPI number 1033455845
LBN Legal business name Jensen, Kelly Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2012
Last updated Dec 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033455845 NPPES
Other AP60327115 WASHINGTON STATE ARNP LICENSE

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