MEDICARE: DR. KATHRYN B JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	34911	KY
2	261QR1300X	Rural Health Clinic/Center	34911	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	183919	OTHER	KY	RIVERBEND GOVERNMENT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134136401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN B JONES M.D.

Provider Business Mailing Address
First Line	:	1109 MCCANN DR
Second Line	:	SUITE 1
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1178
Country	:	US
Telephone Number	:	859-744-5757
Fax Number	:	859-744-5535

Provider Business Practice Location Address
First Line	:	1109 MCCANN DR
Second Line	:	SUITE 1
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1178
Country	:	US
Telephone Number	:	859-744-5757
Fax Number	:	859-744-5535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	09/11/2013

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