Individual
DR. JORDAN NICOLE KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(205) 934-3454
Mailing address
1701 1ST AVE S APT 651, BIRMINGHAM, AL 35233-1863
(505) 353-2973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011301
IL
103TR0400X
Rehabilitation Psychologist
—
AL
Other
Enumeration date
12/08/2023
Last updated
06/05/2025
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