Jones, Kenneth W

Jones, Kenneth W is an individual health care provider with primary practice located at 1004 Edgewood Ave W , Jacksonville FL 32208-6403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jones, Kenneth W can be contacted via phone (904) 765-7774.

Contact Information

Primary practice address
1004 Edgewood Ave W Jacksonville FL 32208-6403
Phone: (904) 765-7774
Fax: (904) 766-1264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0040992 Florida

Profile Details

NPI number 1659331635
LBN Legal business name Jones, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 28th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659331635 NPPES
Florida MEDICAID 003991500

Popular Providers