Jones, Kenneth Allen

Jones, Kenneth Allen is an sole proprietor health care provider with primary practice located at 6350 Peachtree Dunwoody Rd , Atlanta GA 30328. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jones, Kenneth Allen can be contacted via phone (770) 688-1901.

Contact Information

Primary practice address
6350 Peachtree Dunwoody Rd Atlanta GA 30328
Fax: (770) 688-1902
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT002048 Georgia

Profile Details

NPI number 1265523831
LBN Legal business name Jones, Kenneth Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Apr 26th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265523831 NPPES
Georgia MEDICAID 283422181*21

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