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Individual
DAVID M. JONES
Active
Individual
DAVID M. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA094
KY
363AM0700X
Medical Physician Assistant
PA094
KY
363AS0400X
Surgical Physician Assistant
PA094
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3600818
ASC MEDICAID GROUP#
KY
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
95000949
—
KY
01
—
970020922
RR MEDICARE PIN#
KY
01
—
ASC 1019
ASC MEDICARE GROUP#
KY
01
—
CB 5773
RR MEDICARE GROUP#
KY
Enumeration date
10/05/2006
Last updated
06/07/2013
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