Individual
KYLE MICHAEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
301 N SIDNEY AVE, RUSSELLVILLE, AR 72801-4383
(479) 890-5494
(479) 498-9665
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3212
AR
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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