IndividualActive
Kevin Jensen, D.O.
NPI 1386739837 · Otolaryngology/Facial Plastic Surgery Physician · Wasilla, AK
Provider details
- NPI number
- 1386739837
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 107880 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3750 E Country Field Cir Ste B
Wasilla, AK 99654-6659
Phone: (907) 373-1410
Approximate (ZIP-level) locationGet directions
Mailing address
3750 E Country Field Cir Ste B
Wasilla, AK 99654-6659
Additional practice locations (1)
- 3831 Piper St Ste S433Anchorage, AK 99508-6900Phone: (907) 561-1421
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.