Individual
KELLY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 JOSHUS FORK RD, ROCKPORT, WV 26169-8232
(304) 893-4173
Mailing address
456 JOSHUS FORK RD, ROCKPORT, WV 26169-8232
(304) 893-4173
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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