Jolley, Kenneth Mark
Jolley, Kenneth Mark is an individual health care provider with primary practice located at 2525 N Grandview Ave 400, Odessa TX 79761-1600. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jolley, Kenneth Mark can be contacted via phone (432) 550-4700.Contact Information
Primary practice address
2525 N Grandview Ave 400
Odessa TX 79761-1600
Phone: (432) 550-4700
Fax: (432) 550-4715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 4043303 | Texas |
Profile Details
| NPI number | 1912165689 |
|---|---|
| LBN Legal business name | Jolley, Kenneth Mark |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | May 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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