Provider Demographics
NPI:1003881343
Name:JONES, KEVIN C (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:2504 XENIA ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072
Practice Address - Country:US
Practice Address - Phone:806-291-5145
Practice Address - Fax:806-291-5122
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004035257207RC0000X
TXQ3531207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346376201Medicaid
NM04237536Medicaid
TX412013YKT8OtherMEDICARE
TXP01534354OtherRAILROAD MEDICARE
TX421026100OtherFIRSTCARE
TX8FC185OtherBCBS