Individual
KELLY LYNNE JONES
Active
Individual
KELLY LYNNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
74976
WI
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
E-18487
AR
208000000X
Pediatrics Physician
E-18487
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05788256
—
MS
05
—
1689800401
—
WI
Enumeration date
06/08/2009
Last updated
12/05/2024
Update your record
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