Kevin L Jansen M.D.

NPI 1013908995 - Internal Medicine - 207RN0300X

NPI Details
NPI 1013908995
Gender Male
Enumeration Date 10/31/2005
Last Updated 02/25/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
650 E 4500 S
SUITE 210
SALT LAKE CITY UT, 84107-2900, US
Phone (801) 288-2634
Fax (801) 288-1186
Business Location
650 E 4500 S
SUITE 210
SALT LAKE CITY UT, 84107-2900, US
Phone (801) 288-2634
Fax (801) 288-1186
Toxanomy
Taxonomy Code 207RN0300X
License State Massachusetts
License Number 210743
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According to our database, Kevin L Jansen M.D. NPI is 1013908995, taxonomy code is 207RN0300X and license number is 210743, license state is located at Massachusetts. Kevin L Jansen M.D. physically located at 650 E 4500 S, Salt Lake City UT, 84107-2900. NPI Number Kevin L Jansen M.D. has the Individual type.

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1013908995 NPI number is provided on an as is basis without warranty of any kind. 1013908995 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin L Jansen M.D. are for informational purposes only.