Doctor Name: | MR. KEITH L JONES |
NPI Number: | 1487981247 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1019 S 48th Ave Yakima, WA - 989083707 |
Business Phone Number: | 5099723734 |
Business Fax Number: | 5099659998 |
Mailing Address: | 1019 S 48th Ave, YAKIMA |
State: | WA |
Postal Code: | 989083707 |
Phone Number: | 5099723734 |
Fax Number: | 5099659998 |
NPI Enumeration Date: | 11/14/2009 |
NPI Last Update Date: | 11/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |