Individual
KELLI ANN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
203 N 5TH ST, WEST BRANCH, IA 52358-9616
(563) 212-1541
Mailing address
203 N 5TH ST, WEST BRANCH, IA 52358-9616
(563) 212-1541
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
083106
IA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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