Provider Demographics
NPI:1316628381
Name:JONES, KEVIN S (MS, ATP, CRTS)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:S
Last Name:JONES
Suffix:
Gender:M
Credentials:MS, ATP, CRTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8916 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-5124
Mailing Address - Country:US
Mailing Address - Phone:817-921-3100
Mailing Address - Fax:817-921-3101
Practice Address - Street 1:8916 OAK GROVE RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-5124
Practice Address - Country:US
Practice Address - Phone:817-921-3100
Practice Address - Fax:817-921-3101
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other