Jensen, Kevin Neal

Jensen, Kevin Neal is an sole proprietor health care provider with primary practice located at 3750 E Country Field Cir Ste B , Wasilla AK 99654-6659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Jensen, Kevin Neal can be contacted via phone (907) 373-1410.

Contact Information

Primary practice address
3750 E Country Field Cir Ste B Wasilla AK 99654-6659
Phone: (907) 373-1410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 107880 Alaska

Profile Details

NPI number 1386739837
LBN Legal business name Jensen, Kevin Neal
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 30th, 2023 - about last year

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 1386739837 NPPES
Alaska Other 1386739837 NPI
Alaska MEDICAID 1695669 NPI

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