Individual
DR. KIM MARIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACP
Contact information
Practice address
3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3440
(614) 566-5456
(614) 566-6902
Mailing address
5450 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35062661
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35062661
OH
Other
Enumeration date
12/19/2005
Last updated
12/19/2012
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