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Contact Information

JORDAN N KENNON, PSYD
1717 6TH AVE S
BIRMINGHAM, AL35233-1801
 Phone: 205-934-3454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JORDAN N KENNON · (Female)

NPI Number 1629845763
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 12/08/2023
Last updated 06/05/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 071.011301
Hospital affiliation(s) Not Available
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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