Jensen, Kelly M

Jensen, Kelly M is an individual health care provider with primary practice located at 6401 Prairie St Suite 2300, Norton Shores MI 49444-7840. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jensen, Kelly M can be contacted via phone (231) 727-7928.

Contact Information

Primary practice address
6401 Prairie St Suite 2300 Norton Shores MI 49444-7840
Phone: (231) 727-7928
Fax: (231) 724-7844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003267 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003267 Michigan

Profile Details

NPI number 1326131335
LBN Legal business name Jensen, Kelly M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326131335 NPPES
Michigan Other N34010012 MEDICARE PTAN

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