Individual
MR. KENNETH L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3591 TWIN POND RD, VERNON, FL 32462-3362
(850) 625-6271
Mailing address
3591 TWIN POND RD, VERNON, FL 32462-3362
(850) 625-6271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103547
FL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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