Jones, Kelly N

Jones, Kelly N is an individual health care provider with primary practice located at 1512 N Green Mount Rd , O Fallon IL 62269-1953. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Jones, Kelly N can be contacted via phone (618) 624-3750.

Contact Information

Primary practice address
1512 N Green Mount Rd O Fallon IL 62269-1953
Phone: (618) 624-3750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-116148 Illinois
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 036116148 Illinois

Profile Details

NPI number 1417057779
LBN Legal business name Jones, Kelly N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 7th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417057779 NPPES
Illinois MEDICAID 036116148
Illinois Other P00369032
Illinois Other 08232205

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