Provider Demographics
NPI:1942476460
Name:KENNETH A. JONES, JR., M.D., LTD
Entity Type:Organization
Organization Name:KENNETH A. JONES, JR., M.D., LTD
Other - Org Name:PRIDE OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:702-260-1716
Mailing Address - Street 1:3041 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 165
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3948
Mailing Address - Country:US
Mailing Address - Phone:702-260-1716
Mailing Address - Fax:702-260-0975
Practice Address - Street 1:3041 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 165
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3948
Practice Address - Country:US
Practice Address - Phone:702-260-1716
Practice Address - Fax:702-260-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6884207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty