Kathleen Jordan MD PC
Social Worker, Clinical in Scottsdale, AZ. Organization (NPI-2).
NPI number1366033656
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1366033656
- Entity type
- Organization (NPI-2)
- Legal business name
- Kathleen Jordan MD PC
- Organization subpart
- Yes
- Enumeration date
- Jan 29, 2021
- Certification date
- Nov 29, 2021
- Last updated
- Nov 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 171100000X | Acupuncturist | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
15051 N Kierland Blvd Ste 200Scottsdale, AZ 85254-8161
Phone 332-203-0933
Mailing address
30 E 23rd St Ste 700New York, NY 10010-4408
Phone 973-943-0967
Authorized official
Tom Barnes
Vp, Payer Strategy & Revenue Cycle
9739430967
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