Individual
KEITH O JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20218
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05529869
—
MS
01
—
300002201
US DEPT OF LABOR
—
01
—
753068151
UHC
—
01
—
753068151014
TRICARE
—
01
—
PGY4
RESIDENT
MS
Enumeration date
08/30/2007
Last updated
03/28/2018
Update your record
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