Individual
KENNETH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 625-5584
Mailing address
950 OAKWOOD DR APT 8, FORT THOMAS, KY 41075-1297
(812) 968-9568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3015739
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
1145393
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2020
Last updated
08/09/2021
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