Jordan, Kelly Jean

Jordan, Kelly Jean is an individual health care provider with primary practice located at 2300 Lancaster Dr Ne , Salem OR 97305-1223. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is her primary health care specialty. Jordan, Kelly Jean can be contacted via phone (503) 370-4313.

Contact Information

Primary practice address
2300 Lancaster Dr Ne Salem OR 97305-1223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X
Dental Providers / Dental Hygienist 124Q00000X 6265 Oregon

Profile Details

NPI number 1023377819
LBN Legal business name Jordan, Kelly Jean
Credentials EFDA
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated Sep 10th, 2012 - about 13 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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