Dr. Kaci B. Jensen, Pllc

NPI 1255339297 - Clinic/Center - 261QD0000X

NPI Details
NPI 1255339297
Enumeration Date 07/13/2005
Last Updated 03/07/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KACI B. KACI
Position OWNER
Phone (208) 791-4926
Fax
Practice Location
9755 W LEO DR
BOISE ID, 83709-8249, US
Phone (208) 791-4926
Fax
Business Location
9755 W LEO DR
BOISE ID, 83709-8249, US
Phone (208) 791-4926
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Missouri
License Number 2000159748
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According to our database, Dr. Kaci B. Jensen, Pllc NPI is 1255339297, taxonomy code is 261QD0000X and license number is 2000159748, license state is located at Missouri. Dr. Kaci B. Jensen, Pllc physically located at 9755 W Leo Dr, Boise ID, 83709-8249. NPI Number 1033115704 has the healthcare provider type.

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1255339297 NPI number is provided on an as is basis without warranty of any kind. 1255339297 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Kaci B. Jensen, Pllc are for informational purposes only.