Provider Demographics
NPI:1609254176
Name:JONES, KATHRYN ELISE (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ELISE
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10001 CHESTER AVE APT 425
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1632
Mailing Address - Country:US
Mailing Address - Phone:617-306-4366
Mailing Address - Fax:
Practice Address - Street 1:2000 CANAL ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3018
Practice Address - Country:US
Practice Address - Phone:504-962-6330
Practice Address - Fax:504-702-5727
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-15
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.245281207RH0002X
LA312664207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty