Individual
DR. TIMOTHY D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY, PATHOLOGY DEPT, LOUISVILLE, KY 40207-4605
(502) 897-8226
(502) 456-4440
Mailing address
1169 EASTERN PKWY, SUITE G71, LOUISVILLE, KY 40217-1417
(502) 458-8653
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
42576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000788611
ANTHEM
KY
05
—
200816930A
—
IN
01
—
50043106
PASSPORT
KY
05
—
7100011030
—
KY
01
—
P01083731
MEDICARE RR
KY
Enumeration date
05/18/2006
Last updated
11/16/2012
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