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MR. KENNETH MICHAEL JORDAN OWNER NPI 1801935044


NPI Information

NPI: 1801935044
Provider Name: MR. KENNETH MICHAEL JORDAN, OWNER
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Individual

Specialization: Radiography

Address:
4201 E LOOP 820 S
STE C
FT WORTH, TX
ZIP 76119
Phone: (817) 507-0185
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MR. Kenneth Michael Jordan, OWNER is a radiography radiologic technologist in Ft Worth, TX. The provider is a radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care. MR. Kenneth Michael Jordan, OWNER NPI is 1801935044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4201 E LOOP 820 S
STE C
FT WORTH, TX
ZIP 76119-443
Phone: (817) 507-0185
Fax: (817) 507-2190

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471C3402XRadiologic TechnologistRadiography0304041589TEXASYes
22471S1302XRadiologic TechnologistSonographyTEXASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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