Individual
KELLY N JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15945 CLAYTON RD STE 310, BALLWIN, MO 63011-2493
(636) 893-1356
(636) 893-1358
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(636) 893-1356
(636) 893-1358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-116148
IL
207Q00000X
Family Medicine Physician
Primary
2024038766
MO
207QB0002X
Obesity Medicine (Family Medicine) Physician
036116148
IL
Other
Enumeration date
09/25/2006
Last updated
12/13/2024
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