Healthcare Provider Details

I. General information

NPI: 1154561090
Provider Name (Legal Business Name): STEPHEN KENT JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W SOUTH JORDAN PKWY STE 450
SOUTH JORDAN UT
84095-3946
US

IV. Provider business mailing address

406 W SOUTH JORDAN PKWY STE 450
SOUTH JORDAN UT
84095-3946
US

V. Phone/Fax

Practice location:
  • Phone: 801-919-3008
  • Fax:
Mailing address:
  • Phone: 801-919-3008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number5683078-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number5683078-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: