Jordan, Kelly

Jordan, Kelly is an sole proprietor health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Jordan, Kelly can be contacted via phone (510) 428-3331.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60945855 Washington
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 333542 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD60945855 Washington

Profile Details

NPI number 1083060396
LBN Legal business name Jordan, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2016
Last updated Dec 20th, 2022 - about 2 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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