Individual
JORDAN TYLER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0534799
KS
208000000X
Pediatrics Physician
2015007373
MO
208000000X
Pediatrics Physician
34.010970
OH
208000000X
Pediatrics Physician
9407255
KS
2080P0216X
Pediatric Rheumatology Physician
0534799
KS
2080P0216X
Pediatric Rheumatology Physician
Primary
2015007373
MO
Other
Enumeration date
07/01/2009
Last updated
03/01/2026
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