Individual
KAITLIN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15201 SHADY GROVE RD STE 103, ROCKVILLE, MD 20850-3217
(240) 261-6437
(240) 912-4173
Mailing address
932 ORCHARD RIDGE DR UNIT 100, GAITHERSBURG, MD 20878-5887
(901) 581-9995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008219
MD
Other
Enumeration date
10/19/2021
Last updated
07/28/2025
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