Provider Demographics
NPI:1720294721
Name:JONES, KYLE ALAN (HEARING SPECIALIST)
Entity Type:Individual
Prefix:MR
First Name:KYLE
Middle Name:ALAN
Last Name:JONES
Suffix:
Gender:M
Credentials:HEARING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 SAINT FRANCOIS ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-5036
Mailing Address - Country:US
Mailing Address - Phone:314-837-5796
Mailing Address - Fax:
Practice Address - Street 1:525 SAINT FRANCOIS ST
Practice Address - Street 2:SUITE C
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-5036
Practice Address - Country:US
Practice Address - Phone:314-837-5796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1034237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist