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1255019881
JORDAN KENNEDY
PHILADELPHIA, PA
NPI
1255019881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA MT230104)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
JORDAN KENNEDY MD
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
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Mailing Address
JORDAN KENNEDY MD
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number:
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