Individual
DR. KENNETH ALLEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Mailing address
PO BOX 458, OTTUMWA, IA 52501-0458
(641) 683-5773
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08411
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221176
—
IA
Enumeration date
07/17/2006
Last updated
05/28/2008
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