Provider Demographics
NPI:1023452349
Name:JONES, KATTIE JANE (CPM)
Entity type:Individual
Prefix:
First Name:KATTIE
Middle Name:JANE
Last Name:JONES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 GARFIELD DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2107
Mailing Address - Country:US
Mailing Address - Phone:720-917-9589
Mailing Address - Fax:720-230-0413
Practice Address - Street 1:2090 E 104TH AVE SUITE 205
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-3848
Practice Address - Country:US
Practice Address - Phone:720-917-9589
Practice Address - Fax:720-230-0413
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMWR.0000166176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife