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Individual
DR. KERRY BRUCE JORDAN
Active
Individual
DR. KERRY BRUCE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-24272
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF KANSAS CITY
PROVIDER NUMBER
MO
Enumeration date
09/25/2006
Last updated
05/25/2017
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