Individual
KEVIN OTIS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(330) 493-4443
(330) 493-8677
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.005063
OH
Other
Enumeration date
12/29/2006
Last updated
05/20/2023
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