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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN KENNETH MARSHALL, MD

Active

JORDAN KENNETH MARSHALL, MD is a Emergency Medicine healthcare provider located in EAST SAINT LOUIS, Illinois. NPI 1396188025 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · EAST SAINT LOUIS, IL

Registration Details

NPI Number
1396188025
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2013 (13.163909680344 yrs)
Last Updated
Dec 18, 2023
Licenses
0101257159 (VA)
0101257159 (VA)
036160684 (IL)

Practice Information

Address
2001 STATE ST
EAST SAINT LOUIS, IL, 622051803
Browse IL providers · Browse ZIP 62205
Phone
6182710204
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
General Practice
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in EAST SAINT LOUIS, IL

Name Credential NPI
JOSEPH A. DELUCIA DO 1528008786
CHENNAIAH NADINDLA MD 1639283195
DR. ALISSA ANNE HELM DO 1417578626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.