Jordan, Kathryn V

Jordan, Kathryn V is an sole proprietor health care provider with primary practice located at 3122 Vashti Rd , Taylorsville NC 28681-6828. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Jordan, Kathryn V can be contacted via phone (336) 644-3510.

Contact Information

Primary practice address
3122 Vashti Rd Taylorsville NC 28681-6828
Phone: (336) 644-3510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1023269610
LBN Legal business name Jordan, Kathryn V
Credentials QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2008
Last updated Oct 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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