Individual
MR. KEITH R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-6214
Mailing address
459 KINGSTON PLANTATION BLVD, BENTON, LA 71006-3404
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
16478
LA
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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