Individual
MR. KEVIN BART JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
(318) 443-0023
Mailing address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
(318) 443-0023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00637
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00637
PT LICENSE #
LA
01
—
P00090914
RAILROAD MEDICARE
LA
Enumeration date
05/18/2006
Last updated
11/30/2012
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