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Individual

MR. CHARLES RANDALL JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604, LEXINGTON, KY 40536-0294
(859) 323-6047
(859) 257-3873
Mailing address
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604, LEXINGTON, KY 40536-0294
(859) 323-6047
(859) 257-3873

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38158
KY
208M00000X
Hospitalist Physician
Primary
38158
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000341398
ANTHEM
KY
05
64090004
KY
Enumeration date
12/01/2005
Last updated
12/18/2013
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