Jordan, Kelly

Jordan, Kelly is an individual health care provider with primary practice located at 516 Mission House Ln , New Brighton MN 55112-2571. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Jordan, Kelly can be contacted via phone (651) 636-5120.

Contact Information

Primary practice address
516 Mission House Ln New Brighton MN 55112-2571
Phone: (651) 636-5120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1356826325
LBN Legal business name Jordan, Kelly
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2018
Last updated Sep 26th, 2018 - about 8 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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