Individual
MICHELLE Y. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
185 PASADENA DR STE 230, LEXINGTON, KY 40503-2978
(859) 977-4005
(859) 977-4006
Mailing address
185 PASADENA DR STE 230, LEXINGTON, KY 40503-2978
(859) 977-4005
(859) 977-4006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA092
KY
363AM0700X
Medical Physician Assistant
PA092
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
95000006
—
KY
01
—
970021363
RR MEDICARE PIN#
KY
01
—
CB5773
RR MEDICARE GROUP#
KY
Enumeration date
10/02/2006
Last updated
10/01/2018
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