Kenneth W Jones M D P a

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0040992 Issued in FL

Legal business name

KENNETH W JONES M D P A

Practice address

1004 Edgewood Ave W
Jacksonville, FL 32208-6403

Phone

(904) 765-7774

Fax

(904) 766-1264

NPI assigned

Mar 23, 2006

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth W Jones, M DNPI 1659331635

Title

President

Phone

(904) 765-7774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth W Jones, MD

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1659331635
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1770543985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 EDGEWOOD AVE W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322086403",
            "telephone_number": "904-765-7774",
            "fax_number": "904-766-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 EDGEWOOD AVE W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322086403",
            "telephone_number": "904-765-7774",
            "fax_number": "904-766-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W JONES M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-765-7774",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0040992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Paige Kennedy, MD
• Tazena Kennedy
• Kathleen Kennelly, MD
• Khrisha Kenner
• Kathryn Rebecca Kennerly
• Heidi Neal Kenney, MD
• Shaunagay Renay Kenney, PMHNP
• Shawn Edward Kenney, DMSC, PA-C
• Lynnette Hansen Kennison, PMHCNS-BC
• Ann Kenny-Santoro, LCSW

• Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.