DR. KENNETH WESLEY JORDAN DC NPI 1902867252

NPI Information

  • NPI: 1902867252
  • Provider Name: DR. KENNETH WESLEY JORDAN, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 705 NORTH FRASER ST
    GEORGETOWN, SC
    ZIP 29442
  • Phone: (843) 235-0546

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NPI Details

DR. Kenneth Wesley Jordan, DC is a chiropractor in Georgetown, SC. The provider is 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. DR. Kenneth Wesley Jordan, DC NPI is 1902867252. 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:

705 NORTH FRASER ST
GEORGETOWN, SC
ZIP 29442-958
Phone: (843) 235-0546
Fax: (843) 527-8353

The enumeration date for this NPI number is 3/28/2006 and was last updated on 7/16/2008.

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
1111N00000XChiropractor3056SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T042420281MEDICARE PINSOUTH CAROLINA
2GCH507MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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