Kenneth N Jordan, DO

NPI #1710081708 in Pontiac, Illinois

Provider Information

NPI Number: 1710081708
Entity Type: Individual
Name: Kenneth N Jordan, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Sep 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 520 WEST MADISON STREET
Address 2: MADISON STREET CLINIC PC
City: Pontiac
State: Illinois
ZIP Code: 61764
Phone: (815) 844-6106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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