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Individual

DR. ELLY JO JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8508
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100013390
KY
Enumeration date
06/14/2007
Last updated
08/19/2010
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