Doctor Name: | DALE E JONES |
NPI Number: | 1750335923 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 24128 |
Business Practice Address: | 1029 Medical Center Cir Suite 200 Mayfield, KY - 420661189 |
Business Phone Number: | 2702514545 |
Business Fax Number: | 2702514546 |
Mailing Address: | 1029 Medical Center Cir, Suite 200 MAYFIELD |
State: | KY |
Postal Code: | 420661189 |
Phone Number: | 2702514545 |
Fax Number: | 2702514546 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 24128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |