Provider Demographics
NPI:1720323249
Name:JONES, HEATHER E (DPM)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-1533
Mailing Address - Country:US
Mailing Address - Phone:606-280-7131
Mailing Address - Fax:606-641-0172
Practice Address - Street 1:1105 W 5TH ST
Practice Address - Street 2:SUITE #3
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1610
Practice Address - Country:US
Practice Address - Phone:606-862-9900
Practice Address - Fax:606-862-8901
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00412213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000858719OtherANTHEM
KY1730180571OtherUNITED HEALTHCARE
KY1730180571Medicare NSC
KY000000858719OtherANTHEM