MR. KENNETH PHYLEX JONES


Address: 3870 Leeds Avenue, Suite 114, North Charleston, SC 29405-7493
Phone: 8432077130

MR. KENNETH PHYLEX JONES (NPI# 1548344096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548344096
Entity Type Individual
Full Name MR. KENNETH PHYLEX JONES
Credential M.D.
Practice Address 3870 Leeds Avenue
Suite 114
North Charleston
SC 29405-7493
Mailing Address Po Box 62945
North Charleston
SC 29419-2945
Practice Telephone 8432077130
Practice Fax Number 8432123674
Mailing Telephone 8432077130
Mailing Fax Number 8432123674
Enumeration Date 2006-10-24
Last Update Date 2015-05-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine SCMD11629 SC Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 116298 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 11629 05

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1154535417 Kenneth B. Jones Psychologist 310 Mid-continent Plaza, Suite 606, West Memphis, AR 72301 2007-05-09
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Office Location

Street Address 3870 LEEDS AVENUE
SUITE 114
City NORTH CHARLESTON
State SC
Zip Code 29405-7493

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720535 Detyens Medical Center Pharmacy 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 2020-11-03
1013422674 Caroline Rae Speech-Language Pathologist 3100 Carner Avenue, Charleston, SC 29405 2017-12-05
1245685171 Ethel Jane Amerson Registered Nurse 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 2016-04-28
1750755468 Diane Levesque Registered Nurse 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 2015-11-18
1063813111 Trident Medical Center, LLC Clinic/Center 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 2014-09-09
1114344504 Bonita Davies Registered Nurse 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 2014-03-24
1427493261 Melissa Hancock D'arcy Registered Nurse 3750 Dorchester Road, N. Charleston, SC 29405 2013-05-07
1427308824 Terri Timmerman Pharmacist 1506 Montague Ave, North Charleston, SC 29405 2012-09-12
1649414285 Roper Saint Francis Physicians Network Clinical Medical Laboratory 4450 Leeds Place West, Suite A, North Charleston, SC 29405 2009-04-27
1891940649 Earnestine Roberts Registered Nurse 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 2008-11-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

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1578115911 Whole Heart Family Medicine Family Medicine 2891 Tricom St Ste C, North Charleston, SC 29406-7110 2019-07-16
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1366816977 Paladina Health, LLC Family Medicine 5401 Netherby Rd Ste 101, North Charleston, SC 29420-7363 2015-11-19
1235434713 Julie All Med Services Inc Family Medicine 1455 Remount Rd Ste I, North Charleston, SC 29406-3355 2011-01-14
1760642821 Laura Lee Smith Family Medicine 1670 Dry Dock Ave, Building 10: Harvest Free Medical Clinic, North Charleston, SC 29405-2114 2008-06-12
1306033634 Katherine Jaudon Richardson Family Medicine 4050 Bridge View Dr Ste 600, North Charleston, SC 29405 2007-10-01
1033316641 Julie Fritz Casasco Family Medicine 3337 Business Cir, North Charleston, SC 29418-7415 2007-06-27
1528288560 Stela Susac-pavic Family Medicine 8983 University Blvd # 104-334, North Charleston, SC 29406-7102 2007-05-01
1013087949 Christopher James Raispis Family Medicine 1670 Drydock Ave, Bldg 10a Detyens Medical Center, North Charleston, SC 29405 2006-11-08
1487687448 Health First Rapid Care, Inc. Family Medicine 8740 Rivers Avenue, North Charleston, SC 29406-9211 2006-07-09
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Competitor

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City NORTH CHARLESTON
Zip Code 29405

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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