Individual
DR. KIRK ERNEST JENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WALTER REED ARMY MEDICAL CENTER, 6900 GEORGIA AVE, WASHINGTON, DC 20307-0001
(202) 782-6101
(202) 782-0774
Mailing address
5828 TUDOR LN, NORTH BETHESDA, MD 20852-2851
(240) 669-0019
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
M-8551
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-8851
STATE LISCENCE
ID
Enumeration date
06/14/2006
Last updated
07/08/2007
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