Individual
KIMBERLY D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.01357
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098579
—
OH
01
—
310917085193
OH MEDICAID CARESOURCE
OH
05
—
3405006000
—
WV
Enumeration date
07/19/2006
Last updated
01/21/2021
Update your record
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