Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 28814 | KY |
N | 2086S0105X | Surgery of the Hand | 28814 | KY |
NPI | 1497729057 |
---|---|
Provider Name | Dr. Jeffrey S Jones SR. |
First Address | Louisville, KY 40222-3416 |
Second Address | Louisville, KY 40222-3416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 27/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64288145 | (05) | KY |
F54644 | (02) | KY |