Organization
KATHLEEN JORDAN MD PC
Active
Parent organization
KATHLEEN JORDAN MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHLEEN JORDAN MD PC
Authorized official
MR. TOM BARNES (VP, PAYER STRATEGY & REVENUE CYCLE)
(973) 943-0967
Entity
Organization
Contact information
Practice address
15051 N KIERLAND BLVD STE 200, SCOTTSDALE, AZ 85254-8161
(332) 203-0933
Mailing address
30 E 23RD ST STE 700, NEW YORK, NY 10010-4408
(973) 943-0967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
01/29/2021
Last updated
11/29/2021
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