Jensen-Stanley, Pamela M

Jensen-Stanley, Pamela M is an individual health care provider with primary practice located at 117 Tradepark Dr Somerset, Somerset KY 42503-3428. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Jensen-Stanley, Pamela M can be contacted via phone (606) 679-2773.

Contact Information

Primary practice address
117 Tradepark Dr Somerset Somerset KY 42503-3428
Phone: (606) 679-2773
Fax: (606) 679-4626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00289 Kentucky

Profile Details

NPI number 1396712519
LBN Legal business name Jensen-Stanley, Pamela M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 7th, 2014 - about 10 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 1396712519 NPPES
Kentucky MEDICAID 80000375

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