Individual
DR. KELLI LYNN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
70431 HIGHWAY 21, WINN DIXIE, COVINGTON, LA 70433-8103
(985) 898-1195
(985) 871-8151
Mailing address
70431 HIGHWAY 21, WINN DIXIE, COVINGTON, LA 70433-8103
(985) 898-1195
(985) 871-8151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15905
AL
183500000X
Pharmacist
Primary
19056
LA
Other
Enumeration date
11/19/2008
Last updated
06/04/2010
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