Provider Demographics
NPI:1003353996
Name:JONES, KENYA LA'CHELLE (STNA)
Entity Type:Individual
Prefix:MS
First Name:KENYA
Middle Name:LA'CHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 YALE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1934
Mailing Address - Country:US
Mailing Address - Phone:330-283-1811
Mailing Address - Fax:
Practice Address - Street 1:938 YALE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1934
Practice Address - Country:US
Practice Address - Phone:330-283-1811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401698301014376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide