Individual
EVELYN MONTGOMERY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27324
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324645
ANTHEM
KY
01
—
P00080586
RAILROAD MEDICARE
KY
Enumeration date
06/06/2006
Last updated
09/10/2014
Update your record
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