Provider Demographics
NPI:1184224099
Name:JONES, RONNA KAYE
Entity Type:Individual
Prefix:
First Name:RONNA
Middle Name:KAYE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RONNA
Other - Middle Name:KAYE
Other - Last Name:OGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:716 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-2507
Mailing Address - Country:US
Mailing Address - Phone:270-929-5171
Mailing Address - Fax:
Practice Address - Street 1:3151 STATE ROUTE 54
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-2115
Practice Address - Country:US
Practice Address - Phone:270-683-4099
Practice Address - Fax:270-683-3052
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist