Individual
REBECCA KAY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
087676
IA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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