Provider Demographics
NPI:1942403670
Name:JONES, TERRY GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:GENE
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 CATHLINDA DR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-8806
Mailing Address - Country:US
Mailing Address - Phone:620-221-7228
Mailing Address - Fax:
Practice Address - Street 1:1806 PINECREST CIR
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-5500
Practice Address - Country:US
Practice Address - Phone:620-221-6660
Practice Address - Fax:620-221-1481
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-22665207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSK00-18-7685OtherKS DRIVER'S LICENSE #
KS04-22665OtherMEDICAL LICENSE NUMBER