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NPI Code Detail

MEDICARE: KEVIN S JONES MS, ATP, CRTS

MEDICARE: KEVIN S JONES MS, ATP, CRTS
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
1247200000XOther Technician

General Provider Information

NPI Number : 1316628381
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN S JONES MS, ATP, CRTS
Provider Business Mailing Address
First Line : 8916 OAK GROVE RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-5124
Country : US
Telephone Number : 817-921-3100
Fax Number : 817-921-3101
Provider Business Practice Location Address
First Line : 8916 OAK GROVE RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-5124
Country : US
Telephone Number : 817-921-3100
Fax Number : 817-921-3101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 07/31/2023

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