Provider Demographics
NPI:1295818292
Name:JONES, DANIEL K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:K
Last Name:JONES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:KUTTAWA
Mailing Address - State:KY
Mailing Address - Zip Code:42055-0250
Mailing Address - Country:US
Mailing Address - Phone:270-601-4235
Mailing Address - Fax:270-601-4235
Practice Address - Street 1:68 CEDAR STREET
Practice Address - Street 2:PO BOX 250
Practice Address - City:KUTTAWA
Practice Address - State:KY
Practice Address - Zip Code:42055-0250
Practice Address - Country:US
Practice Address - Phone:270-601-4235
Practice Address - Fax:270-350-4673
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2019-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY130806103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100224250Medicaid
KY7100224250Medicaid