DR. KELLY JO JENSON (NPI# 1174702559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174702559 |
| Entity Type | Individual |
| Full Name | DR. KELLY JO JENSON |
| Credential | D.C. |
| Practice Address |
1518 11th Street Suite 1-2 Monroe WI 53566 |
| Practice Telephone | 6083293290 |
| Practice Fax Number | 6083293299 |
| Mailing Telephone | 6083293290 |
| Mailing Fax Number | 6083293299 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2013-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4146012 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497190 | Kelly Jenson | Physical Therapist | 16622 W 159th St, Ste 503, Lockport, IL 60441-8014 | 2006-05-23 |
| Street Address |
1518 11TH STREET SUITE 1-2 |
| City | MONROE |
| State | WI |
| Zip Code | 53566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1669526984 | Thomas Edward Debuque | Counselor | N 3512 State Road 81, Green County Human Services, Monroe, WI 53566 | 2007-01-23 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539418 | Johnathan Ory Boudreaux | Chiropractor | 3219 Sterlington Rd, Monroe, LA 71203-2519 | 2020-08-18 |
| 1922652700 | Jay E Solomon | Chiropractor | 11 Revere Rd, Monroe, NY 10950-6956 | 2019-07-30 |
| 1760044341 | Adjusted Health Chiropractic Pllc | Chiropractor | 15175 S Dixie Hwy Ste Aandb, Monroe, MI 48161-5038 | 2019-07-03 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1245718931 | Kathryn Kay Henderson | Chiropractor | 10 Dancer Ct, Monroe, NJ 08831-8001 | 2018-08-03 |
| 1528589595 | Parks Chiropractic Health Center | Chiropractor | 1058 N. Monroe Street, Monroe, MI 48162-3374 | 2017-06-29 |
| 1619421328 | Casey Beinlich | Chiropractor | 15175 S Dixie Hwy Ste A, Monroe, MI 48161-5038 | 2016-08-10 |
| 1609255157 | Talitha Smith-elliott | Chiropractor | 1900 Lamy Ln Ste D, Monroe, LA 71201-9200 | 2015-05-29 |
| 1740681857 | Living Well Pain Clinics Pllc | Chiropractor | 19265 State Route 2, Ste 200a, Monroe, WA 98272-1522 | 2014-09-08 |
| 1932541182 | Sky Valley Chiropractic Clinic P.s. | Chiropractor | 110 N. Blakely St., Monroe, WA 98272-8867 | 2013-07-29 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.