Individual
DR. KENNETH B. JONES JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 408, SHREVEPORT, LA 71101-4443
(318) 222-7584
(318) 222-7516
Mailing address
1801 FAIRFIELD AVE, SUITE 408, SHREVEPORT, LA 71101-4443
(318) 222-7584
(318) 222-7516
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20055
LA
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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