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Individual

EVELYN MONTGOMERY JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2721 W PARK DR, PADUCAH, KY 42001-9058
(270) 554-7540
(270) 554-0316
Mailing address
2721 W PARK DR, PADUCAH, KY 42001-9058
(270) 554-7540
(270) 554-0316

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
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