Kenneth N Jordan in Pontiac - Family Medicine
Kenneth N Jordan - NPI 1710081708
Kenneth N Jordan is a Family Medicine in Pontiac, Illinois. Kenneth N Jordan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth N Jordan is 1710081708. The last update date is 2007-07-08.
Kenneth N Jordan's current location address is 520 West Madison, Pontiac, Illinois. You can contact this provider via phone number 8158446106 and fax number 8158422526. The mailing address for Kenneth N Jordan is 520 West Madison, Pontiac, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth N Jordan |
|---|---|
| Address | 520 West Madison, Pontiac, Illinois |
| Phone Number | 8158446106 |
| Fax Number | 8158422526 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1710081708 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 520 West Madison |
|---|---|
| City | Pontiac |
| State | Illinois (IL) |
| Post Code | 61764 |
| Phone Number | 8158446106 |
| Fax Number | 8158422526 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3036052185 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36052185 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth N Jordan by the Centers for Medicare & Medicaid Services?
The Kenneth N Jordan has been assigned the NPI (National Provider Identifier) 1710081708 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth N Jordan's facilities are geographically located?
The facilities of Kenneth N Jordan are physically situated at the following location: 520 West Madison, Pontiac, IL, 61764.
What is the area of specialization for Kenneth N Jordan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth N Jordan is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When did the Kenneth N Jordan receive its 1710081708?
The Kenneth N Jordan was issued its 1710081708 on 2006-09-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kenneth N Jordan last refreshed?
The information related to the Kenneth N Jordan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.