Individual
KAITLIN EILEEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 MEDICAL CENTER DR STE 309, SPRINGFIELD, MA 01107-1271
(413) 794-8020
(413) 794-2165
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA101449
MA
Other
Enumeration date
04/14/2022
Last updated
12/30/2025
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