Jones, Kathy M

Jones, Kathy M is an individual health care provider with primary practice located at 2601 N Dr Martin Luther King Dr , Milwaukee WI 53212-2711. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jones, Kathy M can be contacted via phone (414) 263-8352.

Contact Information

Primary practice address
2601 N Dr Martin Luther King Dr Milwaukee WI 53212-2711
Phone: (414) 263-8352
Fax: (414) 264-2264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14973 Wisconsin

Profile Details

NPI number 1508915141
LBN Legal business name Jones, Kathy M
Credentials CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 19 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 1508915141 NPPES
Wisconsin MEDICAID 39176200

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