Provider Demographics
NPI:1154561090
Name:JONES, STEPHEN KENT (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KENT
Last Name:JONES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W SOUTH JORDAN PKWY STE 450
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3946
Mailing Address - Country:US
Mailing Address - Phone:801-919-3008
Mailing Address - Fax:
Practice Address - Street 1:406 W SOUTH JORDAN PKWY STE 450
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3946
Practice Address - Country:US
Practice Address - Phone:801-919-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5683078-1205207LP2900X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine