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Contact Information

KENNETH M JORDAN, OWNER
4201 E LOOP 820 S
STE C
FORT WORTH, TX76119-4443
 Phone: 817-507-0185
 Fax: 817-507-2190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sonography Radiologic Technologist

2471S1302X
 

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for KENNETH M JORDAN · (Male)

NPI # 1801935044
Status Active
Credentials OWNER
Entity Individual
Enumeration date 02/05/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 0304041589
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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