| Kevin R Jordan Dmd Inc | |
|
154 Scott St Olive Hill KY 41164 | |
| (606) 286-4121 | |
| Not Available |
| Full Name | Kevin R Jordan Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 154 Scott St, Olive Hill, Kentucky |
| Authorized Official Name and Position | Kevin R Jordan (OWNER) |
| Authorized Official Contact | 6062864121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Jordan Dmd Inc Po Box 562 Olive Hill KY 41164 Ph: (606) 286-4121 | Kevin R Jordan Dmd Inc 154 Scott St Olive Hill KY 41164 Ph: (606) 286-4121 |
| NPI Number | 1447473939 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447473939 | NPI | - | NPPES |
| 60068681 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6868 (Kentucky) | Primary |