Healthcare Provider Details

I. General information

NPI: 1033032198
Provider Name (Legal Business Name): DR. KATLYNN JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 CUSTER DR STE 202
LEXINGTON KY
40517-4010
US

IV. Provider business mailing address

3150 CUSTER DR STE 202
LEXINGTON KY
40517-4010
US

V. Phone/Fax

Practice location:
  • Phone: 502-219-3488
  • Fax: 502-406-5803
Mailing address:
  • Phone: 502-219-3488
  • Fax: 502-406-5803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number297972
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: