Provider Demographics
NPI:1295863710
Name:JONES, KAREN K (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 PADDLE WHEEL RD
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42044-8880
Mailing Address - Country:US
Mailing Address - Phone:270-362-0166
Mailing Address - Fax:
Practice Address - Street 1:1112 MAIN ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-1450
Practice Address - Country:US
Practice Address - Phone:270-527-3616
Practice Address - Fax:270-527-5520
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY009624OtherKY LICENSE