Provider Demographics
NPI:1740494749
Name:JONES, JAMES KELVIN (CPO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KELVIN
Last Name:JONES
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 S. HERLONG AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1089
Mailing Address - Country:US
Mailing Address - Phone:803-980-5080
Mailing Address - Fax:803-980-5083
Practice Address - Street 1:223 S. HERLONG AVE
Practice Address - Street 2:STE 110
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1089
Practice Address - Country:US
Practice Address - Phone:803-980-5080
Practice Address - Fax:803-980-5083
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO-2708222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist