Provider Demographics
NPI:1104977768
Name:JONES, DAWN H (MD)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:H
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:330 ARKANSAS ST STE 202
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1394
Practice Address - Country:US
Practice Address - Phone:785-505-2200
Practice Address - Fax:785-505-2222
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS0426190208600000X
ARE-15273208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G25246Medicare UPIN
P00304729OtherRAILROAD MEDICARE
1029215BMedicare ID - Type Unspecified
22953029OtherBCBS OF KANSAS CITY
G25246Medicare UPIN