MEDICARE: JAMES KELVIN JONES CPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Z00000X	Orthotist	CPO-2708
2	224P00000X	Prosthetist	CPO-2708

General Provider Information

NPI Number	:	1740494749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES KELVIN JONES CPO

Provider Business Mailing Address
First Line	:	223 S. HERLONG AVE
Second Line	:	STE 110
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1089
Country	:	US
Telephone Number	:	803-980-5080
Fax Number	:	803-980-5083

Provider Business Practice Location Address
First Line	:	223 S. HERLONG AVE
Second Line	:	STE 110
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1089
Country	:	US
Telephone Number	:	803-980-5080
Fax Number	:	803-980-5083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	09/23/2020

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