Kevin Lee Jensen in Lawrenceville - Surgery
Kevin Lee Jensen - NPI 1497855779
Kevin Lee Jensen is a Surgery in Lawrenceville, Georgia. Kevin Lee Jensen practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kevin Lee Jensen is 1497855779. The last update date is 2014-04-10.
Kevin Lee Jensen's current location address is 743 Old Norcross Rd, Lawrenceville, Georgia. You can contact this provider via phone number 7705131763 and fax number 7705132199. The mailing address for Kevin Lee Jensen is 743 Old Norcross Rd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Lee Jensen |
|---|---|
| Address | 743 Old Norcross Rd, Lawrenceville, Georgia |
| Phone Number | 7705131763 |
| Fax Number | 7705132199 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497855779 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2014-04-10 |
Provider Mailing Address Detail
| Address | 743 Old Norcross Rd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300464317 |
| Phone Number | 7705131763 |
| Fax Number | 7705132199 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 28794 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00435058D | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Lee Jensen?
The Kevin Lee Jensen has been issued the NPI (National Provider Identifier) 1497855779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kevin Lee Jensen is located?
The Kevin Lee Jensen is situated at the following address: 743 Old Norcross Rd, Lawrenceville, GA, 300464317.
What is Kevin Lee Jensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Lee Jensen's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497855779 to Kevin Lee Jensen?
The Kevin Lee Jensen received its 1497855779 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details related to Kevin Lee Jensen most recently updated or revised?
The information pertaining to Kevin Lee Jensen, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-10.