Individual
KAYLEE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 N 3RD ST, WAUSAU, WI 54403-4708
(715) 841-9830
Mailing address
708 WASHINGTON ST, WAUSAU, WI 54403-5667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7967-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2022
Last updated
06/17/2024
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