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Individual
POLLY C JONES
Active
Individual
POLLY C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA392
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588185
ANTHEM BC/BS-HYDEN OFFICE
KY
01
—
000000588455
ANTHEM BC/BS-HAZARD OFFICE
KY
01
—
000000588457
ANTHEM BC/BS-VICCO OFFICE
KY
05
—
95000329
—
KY
Enumeration date
05/23/2005
Last updated
06/09/2011
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