Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 2004035257 | MO |
Y | 207RC0000X | Internist - Cardiovascular Disease | Q3531 | TX |
NPI | 1003881343 |
---|---|
Provider Name | Dr. Kevin C Jones |
First Address | Lubbock, TX 79410-1105 |
Second Address | Plainview, TX 79072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 14/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04237536 | (05) | NM |
346376201 | (05) | TX |
412013YKT8 | MEDICARE (01) | TX |
421026100 | FIRSTCARE (01) | TX |
8FC185 | BCBS (01) | TX |
I34937 | (02) | |
P01534354 | RAILROAD MEDICARE (01) | TX |