NPI | 1851510663 |
---|---|
Former Legal Business Name | KENNETH G JORDAN MD FACP |
Doing Business As | JORDAN NEUROSERVICES |
Entity Type | Organization |
Authorized Contact | KENNETH GEORGE JORDAN President / Owner 909-881-1031 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2007-04-24 |
Last Update Date | 2024-07-09 |