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NPI Code Detail

MEDICARE: KARSTEN G JENNINGS D.O.

MEDICARE: KARSTEN G JENNINGS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician1053NE
22085R0202XDiagnostic Radiology PhysicianDR.0064443CO
32085R0202XDiagnostic Radiology Physician1053NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235492554
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARSTEN G JENNINGS D.O.
Provider Business Mailing Address
First Line : 5223 IMOGENE PASS PL
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-2910
Country : US
Telephone Number : 218-349-3924
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR BLDG 7505
Second Line : CREDENTIALS OFFICE RM 163
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-2092
Fax Number : 719-526-7732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2012
Last Update Date : 12/04/2025

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