DR. KENNETH WESLEY JORDAN (NPI# 1902867252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902867252 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WESLEY JORDAN |
| Credential | DC |
| Practice Address |
705 North Fraser St Georgetown SC 29442-0958 |
| Mailing Address |
705 North Fraser Street Georgetown SC 29442-0958 |
| Practice Telephone | 8432350546 |
| Practice Fax Number | 8435278353 |
| Mailing Telephone | 8432350546 |
| Mailing Fax Number | 8435278353 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3056 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GCH507 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801935044 | Kenneth Michael Jordan | Radiologic Technologist | 4201 E Loop 820 S, Ste C, Ft Worth, TX 76119-4443 | 2007-02-05 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1235186438 | Kenneth A Jordan | Internal Medicine | 295 Maple St Ste 202, Tawas City, MI 48763-9352 | 2006-05-31 |
| 1477537116 | Kenneth George Jordan | Specialist | 1660 Plum Ln, Redlands, CA 92374-4532 | 2005-12-06 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1285278580 | Kenneth Warren Jordan | Speech-Language Pathologist | 2600 Compass Rd, Glenview, IL 60026-8001 | 2019-10-30 |
| 1548739147 | Kenneth Jordan | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2018-11-13 |
| 1386122141 | Kenneth Jordan | Social Worker | 29 Maple St, Littleton, NH 03561 | 2018-08-03 |
| 1932440385 | Kenneth W Jordan | Pharmacist | 701 E Milam St, Mexia, TX 76667-2445 | 2013-03-11 |
| 1184628505 | Kenneth Wayne Jordan | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2005-06-13 |
| Street Address |
705 NORTH FRASER ST |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29442-0958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588846166 | Linda Joyce Petrusick | Nurse Practitioner | 57 Jessamine Street, Georgetown, SC 29442 | 2007-12-05 |
| 1063583631 | Winyah Chiropractic Clinic Inc | Chiropractor | 2504 Highmarket St, Georgetown, SC 29442-1717 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1396345377 | Doris Donaway | Psychologist | 17 Merganser Rd Lot 95, Georgetown, DE 19947-9552 | 2020-10-28 |
| 1528668803 | Gwendolyn Marie Dicapo | Counselor | 207 S Elm St, Georgetown, TX 78626-5042 | 2020-10-27 |
| 1447850789 | Caitlin Brooke Callihan | Pharmacist | 1001 Cherry Blossom Way # Way7, Georgetown, KY 40324-9564 | 2020-10-27 |
| 1467051953 | Deontay Adrain Winchester | Counselor | 500 S Kaminski St Ste 213, Georgetown, SC 29440-3435 | 2020-10-26 |
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1063011922 | Eden Alcoseba | Spec/Tech, Pathology | 2300 Wolf Ranch Pkwy Apt 6201, Georgetown, TX 78628-7299 | 2020-10-21 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1740888742 | Bryan Hutchison | Counselor | 141 Mountain Valley St, Georgetown, TX 78628-2199 | 2020-10-12 |
| Find all providers in GEORGETOWN | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1053973644 | Georgetown Chiropractic Center | Chiropractor | 1304 Paris Pike, Georgetown, KY 40324-9704 | 2019-07-03 |
| 1376001651 | Shelby Danielle Phillips | Chiropractor | 1520 Leander Rd Ste 103, Georgetown, TX 78628-8842 | 2019-03-06 |
| 1366918252 | Sammie Mees | Chiropractor | 1103 Williams Dr Ste 101, Georgetown, TX 78628-4109 | 2018-10-17 |
| 1043706344 | Acc-georgetown LLC | Chiropractor | 3007 Dawn Dr Ste 101, Georgetown, TX 78628-2864 | 2018-07-10 |
| 1124526223 | Legacy Chiropractic Inc | Chiropractor | 205 Champion Way Ste 9, Georgetown, KY 40324-8862 | 2018-01-24 |
| 1255845830 | Chelsea Hartinger | Chiropractor | 105 Windsor Path Ste 4, Georgetown, KY 40324-9819 | 2017-11-19 |
| 1457877342 | Credence Chiropractic LLC | Chiropractor | 1103 Rivery Dr Ste 120, Georgetown, TX 78628-3056 | 2017-08-22 |
| 1134519127 | Miranda Wall | Chiropractor | 100 River Hills Dr Ste 102, Georgetown, TX 78628-3682 | 2015-01-28 |
| 1043617202 | Waccamaw Family Chiropractic, P.C. | Chiropractor | 1153 N Fraser St, Georgetown, SC 29440-2851 | 2014-12-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29442 |
Please comment or provide details below to improve the information on DR. KENNETH WESLEY JORDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.