Kenneth N Jensen, CRNA | |
400 N Pleasant, Centralia, IL 62801 | |
(618) 436-5521 | |
(618) 436-8036 |
Full Name | Kenneth N Jensen |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 400 N Pleasant, Centralia, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588671200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kenneth N Jensen, CRNA 4227 Lincolnshire Drive, Mount Vernon, IL 62864-2157 Ph: (618) 242-2317 | Kenneth N Jensen, CRNA 400 N Pleasant, Centralia, IL 62801 Ph: (618) 436-5521 |
Robinson J Omotola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5461 | |
Mr. James Douaedf Rueter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant, Centralia, IL 62801 Phone: 618-436-5461 | |
Emily Ann Alli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-6204 |