Jones, Kevin C

Jones, Kevin C is an sole proprietor health care provider with primary practice located at 129 Carriage Lamp Way , Ponte Vedra Beach FL 32082-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Jones, Kevin C can be contacted via phone (904) 728-8825.

Contact Information

Primary practice address
129 Carriage Lamp Way Ponte Vedra Beach FL 32082-1903
Phone: (904) 728-8825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 53764 Georgia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 205663-1 New York
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MMD.28538 MD South Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME 88907 Florida

Profile Details

NPI number 1336194414
LBN Legal business name Jones, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Aug 21st, 2013 - about 12 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 1336194414 NPPES
New York MEDICAID 020830021

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