Dr. Kevin Neal Jensen
Otolaryngology/Facial Plastic Surgery
3750 E Country Field Cir Ste B
Wasilla
, Alaska 99654-6659
Dr. Kevin Neal Jensen
Otolaryngology/Facial Plastic Surgery
3750 E Country Field Cir Ste B
Wasilla
, Alaska 99654-6659
(907) 580-5520
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Kevin Neal Jensen
- 4700 Las Vegas Blvd N
- Nellis Afb, NV
- Zip : 89191-6600
- Fax : (907) 580-5520
- Phone : (702) 653-3051
Second Address
- Dr. Kevin Neal Jensen
- 3750 E Country Field Cir Ste B
- Wasilla, AK
- Zip : 99654-6659
- Phone : (907) 373-1410
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 107880 | AK |
National Provider Identifier
| NPI | 1386739837 |
|---|---|
| Provider Name | Dr. Kevin Neal Jensen |
| First Address | Nellis Afb, NV 89191-6600 |
| Second Address | Wasilla, AK 99654-6659 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 16/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1386739837 | NPI (01) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.