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KENNETH F. JENSEN JR. M.D.
NPI 1003841784
Internal Medicine in Port Washington, WI

Active since July 11, 2006
1777 W GRAND AVE, PORT WASHINGTON, WI 53074(262) 284-3456(262) 284-4543 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth F. Jensen Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH F. JENSEN JR. M.D. (NPI 1003841784) is an individual internal medicine provider in Port Washington, Wisconsin, licensed in Wisconsin (21735) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003841784
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH F. JENSEN JR.Credential: M.D.
Location Address1777 W GRAND AVEPort Washington, WI 53074-2077
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100
Phone(262) 284-3456
Fax(262) 284-4543
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 23, 2010
✔ NPI 1003841784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 21735
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1777 W GRAND AVE, Port Washington, WI 53074
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Other Identifiers 5

OtherP00449578WI · Rr Medicare
Medicaid30317300WI
Medicare PIN46236-0039WI
Medicare UPINB53857WI
Medicare PIN01994-0039WI

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE M MAVES MD
Family Medicine
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-3456
DR. TERRY R ZIEGLER D.C.
Chiropractor
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-3456
DAWN M ZAK MS, LPC, CSAC
Counselor (Addiction (Substance Use Disorder))
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-6637
ADVANCED HEALTHCARE, S.C.
Durable Medical Equipment & Medical Supplies
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-3456
HEIDI S WHEELER NP
Nurse Practitioner
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 268-6603
AURORA ADVANCED HEALTHCARE, INC.
Eyewear Supplier
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-3456
ADVANCED HEALTHCARE, S.C.
Clinical Medical Laboratory
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-3456
ADVANCED HEALTHCARE, S.C.
Eyewear Supplier
1777 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Jensen's NPI number?

The NPI number for Kenneth Jensen is 1003841784. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Kenneth Jensen located?

Kenneth Jensen practices at 1777 W Grand Ave, Port Washington, WI 53074. The listed phone number is (262) 284-3456.

What is Kenneth Jensen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jensen was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.