Individual
GWENDOLYN KAYE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L - LMT
Contact information
Practice address
1010 MONARCH ST, SUITE 110, LEXINGTON, KY 40513-1497
(859) 296-1696
(859) 296-1676
Mailing address
151 N EAGLE CREEK DR, SUITE 400, LEXINGTON, KY 40509-1889
(859) 264-8868
(859) 264-8878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11494494
CAQH
KY
Enumeration date
06/09/2006
Last updated
12/02/2015
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