Individual
MICHAEL S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 WINDSOR PATH, GEORGETOWN, KY 40324-9617
(502) 868-6106
(502) 868-6107
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001524
OH
363A00000X
Physician Assistant
Primary
PA1174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100066750
—
KY
Enumeration date
12/23/2005
Last updated
05/30/2017
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