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Individual

KEVIN JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-9116
Mailing address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-9116

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5679
CT

Other

Enumeration date
04/13/2022
Last updated
02/07/2023
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