Healthcare Provider Details

I. General information

NPI: 1720043078
Provider Name (Legal Business Name): CAMERON B, JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E 4TH ST # 200
KANSAS CITY MO
64106-1170
US

IV. Provider business mailing address

450 E 4TH ST # 200
KANSAS CITY MO
64106-1170
US

V. Phone/Fax

Practice location:
  • Phone: 816-753-5736
  • Fax: 816-753-5738
Mailing address:
  • Phone: 816-753-5736
  • Fax: 816-753-5738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberR9172
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: