Provider Demographics
NPI:1326171455
Name:JONES, KIM (RRT)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808B SAINT ANDREWS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-3853
Mailing Address - Country:US
Mailing Address - Phone:502-937-0877
Mailing Address - Fax:502-937-0837
Practice Address - Street 1:7808B SAINT ANDREWS CHURCH RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-3853
Practice Address - Country:US
Practice Address - Phone:502-937-0877
Practice Address - Fax:502-937-0837
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY01012279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health