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NPI Code Detail

MEDICARE: KEVIN SCOTT JENSEN D.O.

MEDICARE:   KEVIN SCOTT JENSEN  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
1207P00000XEmergency Medicine PhysicianQ7897TX
2207Q00000XFamily Medicine PhysicianQ7897TX

General Provider Information

NPI Number : 1306284211
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN SCOTT JENSEN D.O.
Provider Business Mailing Address
First Line : 401 E MILAM ST
Second Line :
City : MEXIA
State : TX
Zip : 76667-2329
Country : US
Telephone Number : 254-562-2500
Fax Number :
Provider Business Practice Location Address
First Line : 401 E MILAM ST
Second Line :
City : MEXIA
State : TX
Zip : 76667-2329
Country : US
Telephone Number : 254-562-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 12/10/2024

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Directions to “ KEVIN SCOTT JENSEN D.O.” Practice Location

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