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NPI Code Detail

MEDICARE: DR. KATHY Y JONES M.D.

MEDICARE: DR. KATHY Y JONES M.D.
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
1207V00000XObstetrics & Gynecology PhysicianME0078870FL
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianME0078870FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME0078870OTHERFLMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619051075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHY Y JONES M.D.
Provider Business Mailing Address
First Line : PO BOX 470308
Second Line :
City : CELEBRATION
State : FL
Zip : 34747-0308
Country : US
Telephone Number : 407-228-8066
Fax Number : 407-228-8438
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 309
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-228-8066
Fax Number : 407-228-8438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 03/07/2023

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