Individual
MR. KRISTIAN HALE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
(317) 859-7220
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1266
(317) 859-4269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085001335
IL
363A00000X
Physician Assistant
Primary
10002986A
IN
363A00000X
Physician Assistant
102163
NC
Other
Enumeration date
07/19/2005
Last updated
01/19/2024
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