Individual
JENSEN TEDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(817) 856-0655
Mailing address
3300 CUMMINS ST APT 2171, HOUSTON, TX 77027-5981
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02423
KS
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/10/2020
Last updated
11/07/2024
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