Individual
JEFFREY R JORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
39342
KY
208C00000X
Colon & Rectal Surgery Physician
Primary
39342
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525170A
—
IN
01
—
50007154
PASSPORT
KY
05
—
64101447
—
KY
Enumeration date
01/25/2006
Last updated
09/06/2018
Update your record
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