Jessen, Kristen B

Jessen, Kristen B is an individual health care provider with primary practice located at 289 N Fireweed St Ste D , Soldotna AK 99669-7570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Jessen, Kristen B can be contacted via phone (907) 714-4090.

Contact Information

Primary practice address
289 N Fireweed St Ste D Soldotna AK 99669-7570
Phone: (907) 714-4090
Fax: (907) 262-2476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X LT 10358 North Dakota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2005005291 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35543 Arizona

Profile Details

NPI number 1629171608
LBN Legal business name Jessen, Kristen B
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Feb 20th, 2015 - about 9 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 1629171608 NPPES
Missouri MEDICAID 207331802

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