Individual
POLLY C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 CITIZENS LN, SUITE B, HAZARD, KY 41701-1320
(606) 439-1300
(606) 439-1400
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 439-1300
(606) 439-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA392
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588185
ANTHEM BC/BS-HYDEN OFFICE
KY
01
—
000000588455
ANTHEM BC/BS-HAZARD OFFICE
KY
01
—
000000588457
ANTHEM BC/BS-VICCO OFFICE
KY
05
—
95000329
—
KY
Enumeration date
05/23/2005
Last updated
06/09/2011
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