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NPI Code Detail

MEDICARE: KEVIN SCOTT JONES MD

MEDICARE:   KEVIN SCOTT JONES  MD
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
12084P0800XPsychiatry PhysicianDR.0050214CO

General Provider Information

NPI Number : 1619206307
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN SCOTT JONES MD
Provider Business Mailing Address
First Line : 12303 AIRPORT WAY STE 125
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2729
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 12303 AIRPORT WAY STE 125
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2729
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2009
Last Update Date : 09/17/2024

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