Individual
DR. KEVIN S. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8889 MENTOR AVENUE, MENTOR, OH 44060
(440) 205-1889
(440) 205-1890
Mailing address
8889 MENTOR AVENUE, MENTOR, OH 44060
(440) 205-1889
(440) 205-1890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34-1843246-00
BWC PROVIDER NUMBER
OH
Enumeration date
02/13/2007
Last updated
11/13/2015
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