| Kelly Hope Jones, | |
|
Fort Defiance Indian Hospital Board, Inc., Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8810 | |
| Not Available |
| Full Name | Kelly Hope Jones |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | Fort Defiance Indian Hospital Board, Inc., Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407338718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5331 (New Mexico) | Primary |
| Provider Name | Zuni Indian Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497843734 PECOS PAC ID: 5698689644 Enrollment ID: O20031114000284 |
| Provider Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Hope Jones, Po Box 589, Fort Defiance, AZ 86504-0589 Ph: () - | Kelly Hope Jones, Fort Defiance Indian Hospital Board, Inc., Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8810 |
Sarah Maria Berkenstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Robbie Whitehair, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 928-729-8810 | |
Dr. Jonathan Thomas Keown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Miss Deidrea Rose Salabye, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8814 | |
Ms. Alana Marie Bencivengo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Derek Andrew Ray, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Mrs. Kathryn Elizabeth Jacques, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132 |