Jordan, Kerry Bruce

Jordan, Kerry Bruce is an individual health care provider with primary practice located at 11301 Ash St , Leawood KS 66211-1643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jordan, Kerry Bruce can be contacted via phone (913) 338-4515.

Contact Information

Primary practice address
11301 Ash St Leawood KS 66211-1643
Phone: (913) 338-4515
Fax: (913) 338-4606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-24272 Kansas

Profile Details

NPI number 1952401002
LBN Legal business name Jordan, Kerry Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 25th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952401002 NPPES
Missouri Other BCBS OF KANSAS CITY PROVIDER NUMBER

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