Individual
MR. KAMYRON DARRIS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE # B-395, AURORA, CO 80045-7106
(720) 777-5641
Mailing address
13123 E 16TH AVE # B-395, AURORA, CO 80045-7106
(720) 777-5641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0066380
CO
208000000X
Pediatrics Physician
MD2024-0360
NM
2080P0214X
Pediatric Pulmonology Physician
MD2024-0360
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
05/15/2024
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