Individual
DR. KENNETH DEAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
533 S MIDDLETON RD, SUITE 102, MIDDLETON, ID 83644-6013
(208) 585-3000
(208) 585-2222
Mailing address
533 S MIDDLETON RD, SUITE 102, MIDDLETON, ID 83644-6013
(208) 585-3000
(208) 585-2222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1565
ID
Other
Enumeration date
09/01/2013
Last updated
09/10/2013
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