Individual
DR. KELLY D JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
280 N HOSPITAL DR, PRICE, UT 84501-4216
(435) 637-2663
Mailing address
280 N HOSPITAL DR STE 3, PRICE, UT 84501-4211
(435) 623-7260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT012058
PA
Other
Enumeration date
07/19/2007
Last updated
08/27/2012
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