Individual
KENNETH W JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1004 EDGEWOOD AVE W, JACKSONVILLE, FL 32208-6403
(904) 765-7774
(904) 766-1264
Mailing address
1004 EDGEWOOD AVE W, JACKSONVILLE, FL 32208-6403
(904) 765-7774
(904) 766-1264
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0040992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003991500
—
FL
Enumeration date
03/24/2006
Last updated
05/28/2014
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