Jordan, Kenneth George
Jordan, Kenneth George is an individual health care provider with primary practice located at 1660 Plum Ln , Redlands CA 92374-4532. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Other Service Providers / Specialist is his primary health care specialty. Jordan, Kenneth George can be contacted via phone (909) 881-1031.Contact Information
Primary practice address
1660 Plum Ln
Redlands CA 92374-4532
Phone: (909) 881-1031
Fax: (909) 882-2891
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G283910 | California |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G283910 | California |
Profile Details
NPI number | 1477537116 |
---|---|
LBN Legal business name | Jordan, Kenneth George |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2005 |
Last updated | Jun 4th, 2024 - about last year |
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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