Individual
MRS. AMY LANKFORD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
353 BOGLE ST, SUITE C, SOMERSET, KY 42503-2888
(606) 678-2220
(606) 678-2219
Mailing address
353 BOGLE ST, SUITE C, SOMERSET, KY 42503-2888
(606) 678-2220
(606) 678-2219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA679
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505007
BCBS INDIVIDUAL #
KY
01
—
00196
MEDICARE GROUP PIN#
—
01
—
7100016460
KY MEDICAID GROUP #
KY
05
—
95001780
—
KY
Enumeration date
08/17/2005
Last updated
12/04/2012
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