Provider Demographics
NPI:1659878585
Name:JONES, KATHRYN EMMA (CPM)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:EMMA
Last Name:JONES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:EMMA
Other - Last Name:LAVENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPM
Mailing Address - Street 1:138 KNIPP RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7140
Mailing Address - Country:US
Mailing Address - Phone:281-841-2347
Mailing Address - Fax:
Practice Address - Street 1:138 KNIPP RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-7140
Practice Address - Country:US
Practice Address - Phone:281-841-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-08
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99299176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty