Individual
KYLE ROMARE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 GWEN ST, ROCKY MOUNT, NC 27803-4922
(252) 314-9546
Mailing address
PO BOX 8985, ROCKY MOUNT, NC 27804-6985
(252) 314-9546
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
22517781
NC
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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