DR. KEVIN NEAL JENSEN (NPI# 1386739837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386739837 |
| Entity Type | Individual |
| Full Name | DR. KEVIN NEAL JENSEN |
| Credential | D.O. |
| Practice Address |
3750 E Country Field Cir Ste B Wasilla AK 99654-6659 |
| Mailing Address |
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600 |
| Practice Telephone | 9073731410 |
| Mailing Telephone | 7026533051 |
| Mailing Fax Number | 9075805520 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
107880 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NPI | 1386739837 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3831 Piper St Ste S433, Anchorage, AK 995086900 | 9075611421 | |
| 4700 Las Vegas Blvd N, Nellis Afb, NV 891916600 | 7026533051 | 9075805520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942527734 | Kevin Scott Jensen | Obstetrics & Gynecology | 8846 S Redwood Rd Ste 121, West Jordan, UT 84088-9366 | 2010-05-03 |
| 1497855779 | Kevin Lee Jensen | Surgery | 743 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-09-25 |
| 1235103680 | Kevin Val Jensen | Emergency Medicine | 780 N 2860 E Ste 201, St George, UT 84790-8706 | 2006-02-14 |
| 1205203585 | Kevin Charles Jensen | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2015-08-21 |
| 1306284211 | Kevin Scott Jensen | Family Medicine | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2013-06-13 |
| Street Address |
3750 E COUNTRY FIELD CIR STE B |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497825897 | Alaska Clinic LLC | Clinic/Center | 3750 E Country Field Cir Ste B, Wasilla, AK 99654-6659 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548351 | Alaska Facial Plastic Surgery & Ent | Otolaryngology | 3719 E Meridian Loop Ste E, Wasilla, AK 99654-7273 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891894606 | James Victor Zirul | Otolaryngology | 220 Spur View Drive, Kenai, AK 99611-6880 | 2006-09-21 |
| 1972552891 | Ear, Nose and Throat Specialists Alaska, Inc. | Otolaryngology | 3831 Piper Street Suite#s433, Anchorage, AK 99508 | 2006-05-08 |
| 1134160120 | Andrew Richard Pulliam | Otolaryngology | 2490 S Woodworth Loop, Suite 201, Palmer, AK 99645-7405 | 2006-06-09 |
Please comment or provide details below to improve the information on DR. KEVIN NEAL JENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.