Individual
DR. KAY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
677 BARATARIA BLVD, MARRERO, LA 70072-1835
(504) 341-3535
(504) 340-7081
Mailing address
677 BARATARIA BLVD, MARRERO, LA 70072-1835
(504) 341-3535
(504) 340-7081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5190
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689169
UNITED CONCORDIA
LA
01
—
F4043
BLUE CROSS
LA
Enumeration date
07/25/2006
Last updated
07/08/2007
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