NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

KIMBERLY E JORDAN, MD – NPI #1457315947
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


Contact Information

KIMBERLY E JORDAN, MD
3050 RIVERWOOD PKWY
SUITE B
GASTONIA, NC28056-6001
 Phone: 704-865-1749
 Fax: 704-865-7328
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Family Medicine

207Q00000X
Indicates primary specialty
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NPI Information for KIMBERLY E JORDAN · (Female)

NPI Number 1457315947
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 12/07/2010 - About 4 years ago
Sole proprietor 1 No
Identifiers
NC License # 2010-01703
OH License # 35-08-3111-J
OH Medicaid 2522569
Medicare PIN JO4147041
OH Medicare PIN 4147041
OH Medicare PIN 4147044
OH Medicare PIN 4147045
OH Medicare UPIN I21404
NC Other 2010-01703 NC MEDICAL LICENSE
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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