Provider Demographics
NPI:1174873673
Name:JONES, KENYA YOLONDA III (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:MS
First Name:KENYA
Middle Name:YOLONDA
Last Name:JONES
Suffix:III
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 CHARLESTOWN DR APT 14-F
Mailing Address - Street 2:
Mailing Address - City:COLLEGEPARK
Mailing Address - State:GA
Mailing Address - Zip Code:30337
Mailing Address - Country:US
Mailing Address - Phone:404-707-0527
Mailing Address - Fax:
Practice Address - Street 1:2625 CHARLESTOWN DR APT 14-F
Practice Address - Street 2:
Practice Address - City:COLLEGEPARK
Practice Address - State:GA
Practice Address - Zip Code:30337
Practice Address - Country:US
Practice Address - Phone:404-707-0527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060R1066376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide