Provider Demographics
NPI:1245221373
Name:JONES, CLEMENT KEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CLEMENT
Middle Name:KEVIN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1199 BUSH STREET
Mailing Address - Street 2:SUITE 640
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-563-6325
Mailing Address - Fax:415-563-3129
Practice Address - Street 1:1199 BUSH STREET
Practice Address - Street 2:SUITE 640
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-563-6325
Practice Address - Fax:415-563-3129
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50873207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50873OtherCA LICENSE #
CAA50873OtherCA LICENSE #
CA00A508730Medicare ID - Type UnspecifiedMEDICARE #
CAA50873OtherCA LICENSE #