Individual
KAYLA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 STATE ROUTE 45 N, MAYFIELD, KY 42066-1196
(270) 705-1789
Mailing address
PO BOX 754, MAYFIELD, KY 42066-0034
(270) 705-1789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
246224
KY
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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