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General NPI Number Information
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NPI Number | 1295886448
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Entity Type | Organization
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Legal Business Name | KATHY Y JONES MD LLC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE SUITE 309
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City | ORLANDO
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State | FL
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Zip | 32804-4603
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Country | US
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Telephone | 407-228-8066
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Fax | 407-228-8438
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Provider Business Mailing Address
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Address Line | PO BOX 470308
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City | CELEBRATION
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State | FL
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Zip | 34747-0308
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Country | US
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Telephone | 407-228-8066
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Fax | 407-228-8438
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. KATHY Y JONES
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Credential | MD
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Telephone | 407-228-8066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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