Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH N JORDAN, DO
ActiveKENNETH N JORDAN, DO is a Family Medicine healthcare provider located in PONTIAC, Illinois. NPI 1710081708 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PONTIAC, IL
Registration Details
- NPI Number
- 1710081708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2006 (19.920684910645 yrs)
- Last Updated
- Jul 8, 2007
- License
-
003036052185 (IL)
Practice Information
- Address
-
520 WEST MADISON STREETMADISON STREET CLINIC PCPONTIAC, IL, 61764Browse IL providers · Browse ZIP 61764
- Phone
- 8158446106
- Fax
- 8158422526
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PONTIAC, IL
| Name | Credential | NPI |
|---|---|---|
| GREGORIO MANUEL MANABAT | M.D. | 1306840087 |
| DR. STEVEN S. NORRIS | M.D. | 1316988934 |
| JOHN RINKER | DO | 1255449393 |
| ROBERT E HEINS | DO | 1891899886 |
| DAWN LEMMERT | — | 1891888145 |
| ANGELITO FERNANDEZ | — | 1700966116 |
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.