Provider Demographics
NPI:1952371056
Name:JONES, KAREN DEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DEE
Last Name:JONES
Suffix:
Gender:F
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:PO BOX 1210
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-1210
Mailing Address - Country:US
Mailing Address - Phone:870-523-4311
Mailing Address - Fax:
Practice Address - Street 1:1201 MCLAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3533
Practice Address - Country:US
Practice Address - Phone:870-523-3289
Practice Address - Fax:870-523-4846
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE0676207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR129719001Medicaid
AR5K148Medicare PIN
ARG27800Medicare UPIN