Jordan, Kenneth Michael

Jordan, Kenneth Michael is an individual health care provider with primary practice located at 4201 E Loop 820 S Ste C, Ft Worth TX 76119-4443. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Radiography is his primary health care specialty. Jordan, Kenneth Michael can be contacted via phone (817) 507-0185.

Contact Information

Primary practice address
4201 E Loop 820 S Ste C Ft Worth TX 76119-4443
Phone: (817) 507-0185
Fax: (817) 507-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 0304041589 Texas
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X Texas

Profile Details

NPI number 1801935044
LBN Legal business name Jordan, Kenneth Michael
Credentials OWNER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 9th, 2007 - about 17 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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