Individual
KELLY FORD JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4700 HARDY ST STE J1, HATTIESBURG, MS 39402-1300
(601) 336-5236
(601) 255-5458
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158
(717) 773-4654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTPT6045
MS
Other
Enumeration date
12/27/2021
Last updated
01/22/2025
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