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Individual

DR. KEVIN C JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
129 CARRIAGE LAMP WAY, PONTE VEDRA BEACH, FL 32082-1903
(904) 728-8825
Mailing address
129 CARRIAGE LAMP WAY, PONTE VEDRA BEACH, FL 32082-1903
(904) 728-8825

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
205663-1
NY
2085N0700X
Neuroradiology Physician
53764
GA
2085N0700X
Neuroradiology Physician
Primary
ME 88907
FL
2085N0700X
Neuroradiology Physician
MMD.28538 MD
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020830021
NY
Enumeration date
05/24/2006
Last updated
08/21/2013
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