Individual
DR. KEVIN R. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
154 SCOTT ST., OLIVE HILL, KY 41164
(606) 286-4121
Mailing address
154 SCOTT ST., OLIVE HILL, KY 41164
(606) 286-4142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY6868
KY
Other
Enumeration date
05/03/2010
Last updated
05/28/2024
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