Provider Demographics
NPI:1851769996
Name:JONES, KERI ANNE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:ANNE
Last Name:JONES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 WILKENS AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3601
Mailing Address - Country:US
Mailing Address - Phone:410-409-6141
Mailing Address - Fax:
Practice Address - Street 1:1715 EDMONDSON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4348
Practice Address - Country:US
Practice Address - Phone:410-409-6141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-07
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02269171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist