Individual
MR. VIKTOR C JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
1349 NW HIDDEN RIDGE CIR, BLUE SPRINGS, MO 64015-2719
(816) 807-0152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2014036585
MO
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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