Individual
KENNETH A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 MAPLE ST STE 202, TAWAS CITY, MI 48763-9352
(989) 362-6108
(989) 362-0161
Mailing address
117 W PATERSON ST, ATTN: PAULA JACKSON, KALAMAZOO, MI 49007
(269) 349-2641
(269) 201-2855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301040286
MI
Other
Enumeration date
05/31/2006
Last updated
07/29/2019
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