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1952401002
KERRY BRUCE JORDAN
LEAWOOD, KS
NPI
1952401002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 04-24272)
Enumeration Date
2006-09-25
Last Update Date
2017-05-25
Business Address
Dr. KERRY BRUCE JORDAN M.D.
11301 ASH ST
LEAWOOD, KS 66211-1643
Phone number: 913-338-4515
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Mailing Address
Dr. KERRY BRUCE JORDAN M.D.
PO BOX 412554
KANSAS CITY, MO 64141-2554
Phone number: 913-338-4515
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