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Individual

DR. JONATHAN ANDREW JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6120
Mailing address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-41613
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2013
Last updated
06/05/2019
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