Individual
KEVIN SCOTT JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8846 S REDWOOD RD STE E121, WEST JORDAN, UT 84088-9366
(801) 569-1999
(801) 569-2001
Mailing address
PO BOX 198546, ATLANTA, GA 30384-8546
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9069040-1205
UT
207V00000X
Obstetrics & Gynecology Physician
9069040-8905
UT
Other
Enumeration date
05/03/2010
Last updated
01/21/2022
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