Provider Demographics
NPI:1255501656
Name:JONES, KYLE BRANDON (DC)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:BRANDON
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S TRYON ST
Mailing Address - Street 2:SUITE #200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28280-0002
Mailing Address - Country:US
Mailing Address - Phone:704-644-8690
Mailing Address - Fax:919-321-4320
Practice Address - Street 1:101 S TRYON ST
Practice Address - Street 2:SUITE #200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28280-0002
Practice Address - Country:US
Practice Address - Phone:704-644-8690
Practice Address - Fax:919-321-4320
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor