Individual
DR. HEATHER R JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5844 NW BARRY RD, SUITE 110, KANSAS CITY, MO 64154-1465
(816) 880-6100
(816) 746-1226
Mailing address
5844 NW BARRY RD, SUITE 110, KANSAS CITY, MO 64154-1465
(816) 880-6100
(816) 746-1226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002028984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208988303
—
MO
Enumeration date
02/27/2006
Last updated
03/10/2011
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