Jones, Kelly
Jones, Kelly is an individual health care provider with primary practice located at 1600 W 38Th St Suite 320, Austin TX 78731-6400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Jones, Kelly can be contacted via phone (512) 628-1896.Contact Information
Primary practice address
1600 W 38Th St Suite 320
Austin TX 78731-6400
Phone: (512) 628-1896
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 37502 | Texas |
Profile Details
NPI number | 1063817401 |
---|---|
LBN Legal business name | Jones, Kelly |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2014 |
Last updated | Mar 24th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063817401 | NPPES |
Texas | MEDICAID | 366047402 | |
Texas | MEDICAID | 366047401 |
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