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General NPI Number Information
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NPI Number | 1972766335
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Entity Type | Individual
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Provider Name | JESSICA J KENERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 8510 BRYANT ST STE 200
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City | WESTMINSTER
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State | CO
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Zip | 80031-3845
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Country | US
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Telephone | 303-650-4460
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Fax | 720-565-4131
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Provider Business Mailing Address
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Address Line | 1735 S PUBLIC RD STE 203
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City | LAFAYETTE
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State | CO
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Zip | 80026-7093
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Country | US
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Telephone | 303-665-3036
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Fax | 303-665-3397
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0050452
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License Number State | CO
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