Provider Demographics
NPI:1598333874
Name:JONES, KENYA LATOYA
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:LATOYA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24578 NOVI RD
Mailing Address - Street 2:7094
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48376
Mailing Address - Country:US
Mailing Address - Phone:248-820-1586
Mailing Address - Fax:
Practice Address - Street 1:24578 NOVI RD
Practice Address - Street 2:STE 7094
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48376
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health