Basic Information
Provider Information
NPI: 1598812315
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: CHRISTOPHER
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 909
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402010909
CountryCode: US
TelephoneNumber: 5025880329
FaxNumber: 5025880326
Practice Location
Address1: 401 E CHESTNUT ST
Address2: SUITE 710
City: LOUISVILLE
State: KY
PostalCode: 402025700
CountryCode: US
TelephoneNumber: 5025838303
FaxNumber: 5025840302
Other Information
ProviderEnumerationDate: 01/04/2007
LastUpdateDate: 12/16/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X43885KYN Allopathic & Osteopathic PhysiciansSurgery 
204F00000X43885KYY Allopathic & Osteopathic PhysiciansTransplant Surgery 

No ID Information.


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