DR. KEVIN ANDREW JESSEN M.D.
NPI 1164529194
Family Medicine in Fond Du Lac, WI

Q: What is Kevin Jessen's NPI number?

The NPI number for Kevin Jessen is 1164529194. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Kevin Jessen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Jessen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 20, 2006

912 S HICKORY ST, FOND DU LAC, WI 54935(920) 929-7490(920) 929-7470 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kevin Andrew Jessen M.d. NPPES

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

DR. KEVIN ANDREW JESSEN M.D. (NPI 1164529194) is an individual family medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (24385) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1164529194

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEVIN ANDREW JESSENCredential: M.D.

Location Address912 S HICKORY STFond Du Lac, WI 54935-5530

Mailing Address912 S Hickory StFond Du Lac, WI 54935-5530 · (920) 929-7490 · Fax (920) 929-7470

Phone(920) 929-7490

Fax(920) 929-7470

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164529194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 24385

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

912 S HICKORY ST, Fond Du Lac, WI 54935

Open in Google Maps ↗

Other Identifiers 2

Medicaid30458100WI

Medicare UPINB53865

Other Providers at the Same Location NPPES 16

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

STEFANIE MAE PETRIE APNP

Nurse Practitioner (Family)