Individual
ROY A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, 1073 DELP PAVILION MAIL STOP 3045, KANSAS CITY, KS 66160-0001
(913) 588-7357
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-7357
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0431035
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34446011
BCBS KC
MO
Enumeration date
03/23/2007
Last updated
07/09/2007
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