Individual provider · Type 1 NPI

Kelly Jordan, MD

Pediatric Critical Care Medicine Physician · Oakland, CA

NPI number 1083060396 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Call (510) 428-3331 Map

Mailing address

3261 Franklin Ave E Apt 7
Seattle, WA 98102-3858

Other practice locations

  • 1514 Jefferson Hwy, New Orleans, LA 70121-2429 · (504) 842-4000

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XMD60945855 (WA)
Pediatric Critical Care Medicine Physician 2080P0203X333542 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Critical Care Medicine Physician Primary 2080P0203XMD60945855 (WA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1083060396

Kelly Jordan, MD's National Provider Identifier is 1083060396, issued on May 5, 2016. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Oakland, CA. The record was last updated on Dec 20, 2022.