Individual
KENNETH N JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N PLEASANT, CENTRALIA, IL 62801
(618) 436-5521
(618) 436-8036
Mailing address
4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL 62864-2157
(618) 242-2317
(618) 242-9710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
08/02/2006
Last updated
04/26/2026
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