| Doctor Name: | DR. KENNETH B. JONES |
| NPI Number: | 1154535417 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 06-17P |
| Business Practice Address: | 310 Mid-continent Plaza Suite 606 West Memphis, AR - 72301 |
| Business Phone Number: | 9012928074 |
| Business Fax Number: | 9015077929 |
| Mailing Address: | 754 Tealwood Ln., CORDOVA |
| State: | TN |
| Postal Code: | 380186333 |
| Phone Number: | 9012928074 |
| Fax Number: | 9015077929 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 06-17P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |