Individual
DR. KEVIN T. JONES
Active
Individual
DR. KEVIN T. JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128059601
—
TX
05
—
128059602
—
TX
05
—
128059603
—
TX
01
—
680007408
RAIL ROAD
TX
01
—
86111A
BLUE CROSS BLUE SHIELD
TX
05
—
P000DX100
—
TX
Enumeration date
06/26/2006
Last updated
07/09/2007
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