Organization
DWAYNE JONES, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE E JONES MD (PRESIDENT)
(913) 961-1744
Entity
Organization
Contact information
Practice address
2790 CLAY EDWARDS DR, KANSAS CITY, MO 64116-3276
(913) 647-4100
(913) 647-4120
Mailing address
2790 CLAY EDWARDS DR, KANSAS CITY, MO 64116-3276
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
109157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507610103
—
MO
01
—
DD4091
RR MEDICARE
MO
Enumeration date
08/30/2006
Last updated
06/02/2022
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