| Doctor Name: | DR. KEVIN NEAL JENSEN |
| NPI Number: | 1386739837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 34.008805 |
| Business Practice Address: | 5955 Zeamer Ave Jber, AK - 995063702 |
| Business Phone Number: | 9075803211 |
| Business Fax Number: | 9075805520 |
| Mailing Address: | 5955 Zeamer Ave, JBER |
| State: | AK |
| Postal Code: | 995063702 |
| Phone Number: | 9075803211 |
| Fax Number: | 9075805520 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 34.008805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |