Individual ProviderKenneth Lyons JonesPediatricsAllopathic & Osteopathic PhysiciansPractice Address7920 Frost St, Ste #210, San Diego, CA 92123-2736(858) 966-5840(858) 309-6303PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth Lyons Jones does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1962550673Provider TypeIndividualFull NameJones, Kenneth LyonsCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/8/2007Last Updated8/30/2011Contact InformationPractice LocationPractice Address7920 Frost St, Ste #210, San Diego, CA 92123-2736Phone(858) 966-5840FaxUnlisted FaxMailing LocationMailing Address3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800Phone(858) 309-6303Fax(858) 309-6301Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseG29045CaliforniaProvider IdentifiersIDDescriptionIssuerID00G290450DescriptionMedicaidIssuerUnlistedCalifornia