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NPI Code Detail

MEDICARE: DR. KATHERINE K JONES MD

MEDICARE: DR. KATHERINE K 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
1208000000XPediatrics PhysicianMD452078PA
2390200000XStudent in an Organized Health Care Education/Training Program236241MA

General Provider Information

NPI Number : 1982864955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE K JONES MD
Provider Business Mailing Address
First Line : 4865 MARKET ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3508
Country : US
Telephone Number : 267-425-9800
Fax Number : 267-425-9999
Provider Business Practice Location Address
First Line : 4865 MARKET ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3508
Country : US
Telephone Number : 267-425-9800
Fax Number : 267-425-9999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 08/12/2014

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