Provider Demographics
NPI:1649059072
Name:JONES, KARRINGTON AKELAH-DANIELLE
Entity type:Individual
Prefix:
First Name:KARRINGTON
Middle Name:AKELAH-DANIELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1076
Mailing Address - Country:US
Mailing Address - Phone:216-882-5197
Mailing Address - Fax:
Practice Address - Street 1:4980 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-1076
Practice Address - Country:US
Practice Address - Phone:216-882-5197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage