Kenneth N Jordan DO

  • NPI 1710081708
According to our database, the NPI number for Kenneth N Jordan DO is 1710081708 and activated since 17 years ago. Kenneth N Jordan DO is an individual provider who specializes in Family Medicine, and the primary practice location is 520 West Madison Street, Pontiac, IL 61764. You can also contact Kenneth N Jordan DO via telephone number is (815) 844-6106. Provider NPI information was last updated on 07/08/2007.

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Overview of Kenneth N Jordan DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/11/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 003036052185
  • License State: IL

Provider Mailing Address

  • Address: 520 West Madison
    Pontiac, IL 61764
  • Phone: 815-844-6106
  • Fax: 815-842-2526

Provider Practice Location

  • Address: 520 West Madison Street
    Madison Street Clinic Pc
    Pontiac, IL 61764
  • Phone: 815-844-6106
  • Fax: 815-842-2526

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 0030360521
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036052185
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth N Jordan DO?
  • A: The npi number for Kenneth N Jordan DO is 1710081708.
  • Q: What are Kenneth N Jordan DO's specialties?
  • A: Kenneth N Jordan DO's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Kenneth N Jordan DO?
  • A: The medical license number for Kenneth N Jordan DO is 003036052185 and issued in IL in USA.
  • Q: Where is Kenneth N Jordan DO practice location?
  • A: Kenneth N Jordan DO is practicing at 520 West Madison Street, Pontiac, IL 61764.
  • Q: How to contact Kenneth N Jordan DO?
  • A: You can contact Kenneth N Jordan DO via 815-844-6106.