Active NPI
Kenneth L Jonas, MD
- Family Medicine Physician
- Kalispell, MT
National Provider Identifier
1063468858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9787
- Practice address
- 202 Conway Dr
Suite 100
Kalispell, MT 59901-3112 - Phone
- (406) 751-5662
- Fax
- (406) 755-0971
- NPI assigned
- May 25, 2006
- Last updated
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9787 | MT | Primary |
Addresses
Primary practice location
202 Conway Dr
Suite 100
Kalispell, MT 59901-3112
Mailing address
202 Conway Dr
Suite 100
Kalispell, MT 59901-3112
Phone (406) 751-5662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9787 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center, Inc | Past | Accepting new patients | |
| Ken L Jonas M D P C | Past | Accepting new patients | |
| Applied Health Services Incorporated | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Community/Retail Pharmacy
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-
dba Logan Health Behavioral Health
- Clinic/Center
- Kalispell, MT
- NPI 1285689539
-
- Hospitalist Physician
- Kalispell, MT
- NPI 1508032814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1063468858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CONWAY DR",
"address_2": "SUITE 100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013112",
"telephone_number": "406-751-5662",
"fax_number": "406-755-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CONWAY DR",
"address_2": "SUITE 100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013112",
"telephone_number": "406-751-5662",
"fax_number": "406-755-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONAS",
"first_name": "KENNETH",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "9787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.