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Individual

KENNETH JOHN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 CAMINO ENCINAS, SUITE 10, ORINDA, CA 94563-3395
(925) 254-5622
(925) 254-7390
Mailing address
12 CAMINO ENCINAS, SUITE 10, ORINDA, CA 94563-3395
(925) 254-5622
(925) 254-7390

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A20978
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A20978
MEDICAL LICENSE
CA
Enumeration date
09/26/2006
Last updated
07/08/2007
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