Provider Demographics
NPI:1003811530
Name:KEVIN S. JONES, INC.
Entity Type:Organization
Organization Name:KEVIN S. JONES, INC.
Other - Org Name:ALL AMERICAN MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-458-4589
Mailing Address - Street 1:3201 INDUSTRIAL TERRACE #130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-7525
Mailing Address - Country:US
Mailing Address - Phone:512-458-4589
Mailing Address - Fax:512-458-9521
Practice Address - Street 1:2704 SW 44TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73119-3339
Practice Address - Country:US
Practice Address - Phone:405-682-2222
Practice Address - Fax:405-682-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200037620AMedicaid
OK200037620AMedicaid
OK5172670001Medicare NSC