Individual
MR. KELLY GENE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
202 E MILL ST, HUMANSVILLE, MO 65674-8507
(417) 754-1601
Mailing address
PO BOX 1374, SPRINGFIELD, MO 65801-1374
(417) 869-8161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2010026041
MO
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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