Individual
MARTIN J JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 ROBINS WAY, SUITE 206, RUSSELLVILLE, KY 42276-1820
(270) 726-2022
(270) 726-2035
Mailing address
105 ROBINS WAY, SUITE 206, RUSSELLVILLE, KY 42276-1820
(270) 726-2022
(270) 726-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1350DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77001352
—
KY
Enumeration date
05/25/2006
Last updated
12/05/2007
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