Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 21198 | KY |
NPI | 1013910306 |
---|---|
Provider Name | Dr. David Eugene Jones |
First Address | Owensboro, KY 42303 |
Second Address | Owensboro, KY 42303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 23/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180007827 | RAILROAD MEDICARE (01) | |
64211980 | (05) | KY |
C25417 | (02) | |
C25417 | (02) | KY |