Individual
DR. KATHLEEN T. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4128 24TH ST, SAN FRANCISCO, CA 94114-3615
(415) 753-4546
(650) 641-3290
Mailing address
4128 24TH ST, SAN FRANCISCO, CA 94114-3615
(415) 753-4546
(650) 641-3290
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G84721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G847210
—
CA
Enumeration date
01/02/2007
Last updated
07/08/2024
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