Individual
DR. TRAVIS D. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7777
Mailing address
448 W 7TH ST, CONCORDIA, KS 66901-2706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0530032
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100449110A
—
KS
Enumeration date
05/24/2005
Last updated
08/24/2022
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