Provider Demographics
NPI:1518706209
Name:JONES, KINDAL
Entity type:Individual
Prefix:
First Name:KINDAL
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 H ST SW APT 345
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4294
Mailing Address - Country:US
Mailing Address - Phone:202-498-0334
Mailing Address - Fax:
Practice Address - Street 1:61 PIERCE ST NE UNIT 1032
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2099
Practice Address - Country:US
Practice Address - Phone:202-847-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant