Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 7949 | KY |
N | 1223D0001X | Dental Public Health | 7949 | KY |
Y | 1223G0001X | General Practice | 7949 | KY |
Y | 213EG0000X | General Practice | 7949 | KY |
N | 1223P0221X | Pediatric Dentist | 7949 | KY |
NPI | 1235310608 |
---|---|
Provider Name | Dr. Laura B Hancock Jones |
First Address | Morganfield, KY 42437-1502 |
Second Address | Morganfield, KY 42437-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 07/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100052080 | (05) | KY |