Individual
DR. MICHAEL JAMES JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 KENTUCKY AVENUE, SUITE #202, PADUCAH, KY 42003-3825
(270) 538-5300
(270) 538-5308
Mailing address
2601 KENTUCKY AVENUE, SUITE #202, PADUCAH, KY 42003-3825
(270) 538-5300
(270) 538-5308
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
20081
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720731101
—
IL
05
—
64200819
—
KY
Enumeration date
08/03/2006
Last updated
06/06/2008
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