Kerry Bruce Jordan in Kansas City - Family Medicine

Kerry Bruce Jordan - NPI 1952401002

Kerry Bruce Jordan is a Family Medicine in Kansas City, Missouri. Kerry Bruce Jordan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kerry Bruce Jordan is 1952401002. The last update date is 2017-05-25.

Kerry Bruce Jordan's current location address is Po Box 412554, Kansas City, Missouri. You can contact this provider via phone number 9133384515 and fax number 9133384606. The mailing address for Kerry Bruce Jordan is Po Box 412554, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry Bruce Jordan
Address Po Box 412554, Kansas City, Missouri
Phone Number 9133384515
Fax Number 9133384606
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952401002
Provider Enumeration Date 2006-09-25
Last Updated Date 2017-05-25

Provider Mailing Address Detail

Address Po Box 412554
City Kansas City
State Missouri (MO)
Post Code 641412554
Phone Number 9133384515
Fax Number 9133384606

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 04-24272
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BCBS OF KANSAS MO PROVIDER NUMBER

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FAQs about Kerry Bruce Jordan

What is the unique identifier code issued to Kerry Bruce Jordan by the Centers for Medicare & Medicaid Services?

The Kerry Bruce Jordan has been assigned the NPI (National Provider Identifier) 1952401002. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kerry Bruce Jordan is located?

The Kerry Bruce Jordan is situated at the following address: Po Box 412554, Kansas City, MO, 641412554.

What is the area of specialization for Kerry Bruce Jordan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kerry Bruce Jordan is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date was the 1952401002 assigned to Kerry Bruce Jordan?

The Kerry Bruce Jordan was issued its 1952401002 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kerry Bruce Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kerry Bruce Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-05-25.

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