Jordan, Kathy Lynn

Jordan, Kathy Lynn is an individual health care provider with primary practice located at 324 E Antietam St Suite 202, Hagerstown MD 21740-5754. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jordan, Kathy Lynn can be contacted via phone (301) 766-4167.

Contact Information

Primary practice address
324 E Antietam St Suite 202 Hagerstown MD 21740-5754
Phone: (301) 766-4167
Fax: (301) 745-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14201 Maryland

Profile Details

NPI number 1932255049
LBN Legal business name Jordan, Kathy Lynn
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932255049 NPPES
Maryland Other 14201 PHARMACY LICENSE NUMBER

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