Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 04-18402 | KS |
N | 207XS0106X | Orthopaedic Hand Surgeon | 04-18402 | KS |
NPI | 1285661355 |
---|---|
Provider Name | Jay Stanley Jones |
First Address | Wichita, KS 67218-2900 |
Second Address | Wichita, KS 67218-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 30/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
059897 | BC/BS (01) | KS |
100150380C | (05) | KS |
200042098 | MEDICARE RAILROAD (01) | KS |
B69416 | (02) | KS |