Provider Demographics
NPI:1881934743
Name:JONES, KENNETH NEIL (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:NEIL
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 BOB BULLOCK LOOP # C
Mailing Address - Street 2:STE 328C93
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-8807
Mailing Address - Country:US
Mailing Address - Phone:713-799-9484
Mailing Address - Fax:
Practice Address - Street 1:5802 BOB BULLOCK LOOP # C
Practice Address - Street 2:STE 328C93
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-8807
Practice Address - Country:US
Practice Address - Phone:713-799-9484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4128208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice