Healthcare Provider Details

I. General information

NPI: 1992806624
Provider Name (Legal Business Name): J KIPLING JONES MD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9844 LORI ROAD SUITE 100
CHESTERFIELD VA
23832-6691
US

IV. Provider business mailing address

PO BOX 2200
CHESTERFIELD VA
23832-6691
US

V. Phone/Fax

Practice location:
  • Phone: 804-751-0453
  • Fax: 804-796-1997
Mailing address:
  • Phone: 804-751-0453
  • Fax: 804-796-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberVA0101034460
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberVA0101034460
License Number StateVA

VIII. Authorized Official

Name: DR. JOHN KIPLING JONES
Title or Position: PHYSICIAN OWNER CHAIRMAN OF THE BOA
Credential: MD
Phone: 804-751-0453