Jensen, Kelly Elizabeth Clark

Jensen, Kelly Elizabeth Clark is an individual health care provider with primary practice located at 4745 Arapahoe Ave Suite 200, Boulder CO 80303-1080. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jensen, Kelly Elizabeth Clark can be contacted via phone (303) 938-4710.

Contact Information

Primary practice address
4745 Arapahoe Ave Suite 200 Boulder CO 80303-1080
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 41897 Colorado

Profile Details

NPI number 1568446227
LBN Legal business name Jensen, Kelly Elizabeth Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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