Individual
DR. KRISTIN MANTEUFFEL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.SC.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085834
MI
207R00000X
Internal Medicine Physician
50517
CO
208000000X
Pediatrics Physician
4301085834
MI
208000000X
Pediatrics Physician
Primary
50517
CO
Other
Enumeration date
04/12/2007
Last updated
06/10/2013
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