Kenneth F. Jensen JR., M.D.

NPI #1003841784 in Port Washington, Wisconsin

Provider Information

NPI Number: 1003841784
Entity Type: Individual
Name: Kenneth F. Jensen JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 11, 2006
Last Updated: Dec 23, 2010

Practice Location

Address: 1777 W GRAND AVE
City: Port Washington
State: Wisconsin
ZIP Code: 53074-2077
Phone: (262) 284-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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