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NPI Code Detail

MEDICARE: MRS. KIMBERLY DAWN JONES AUD

MEDICARE:  MRS. KIMBERLY DAWN JONES  AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist484-156WI

General Provider Information

NPI Number : 1174505184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY DAWN JONES AUD
Provider Business Mailing Address
First Line : N24W24330 SADDLE BROOK DR
Second Line : APARTMENT 6
City : PEWAUKEE
State : WI
Zip : 53072-6411
Country : US
Telephone Number : 262-264-6335
Fax Number :
Provider Business Practice Location Address
First Line : 19475 W NORTH AVE
Second Line : SUITE 301
City : BROOKFIELD
State : WI
Zip : 53045-4199
Country : US
Telephone Number : 262-780-4444
Fax Number : 262-780-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. KIMBERLY DAWN JONES AUD” Practice Location

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