Individual provider · Type 1 NPI

Kenneth Michael Jordan, OWNER

Sonography Radiologic Technologist · Fort Worth, TX

NPI number 1801935044 Active

Practice location

4201 E Loop 820 S, Ste C
Fort Worth, TX 76119-4443

Fax (817) 507-2190

Mailing address

PO Box 173248
Arlington, TX 76003-3248

Specialties and licenses

TaxonomyCodeLicense
Radiography Radiologic Technologist 2471C3402X0304041589 (TX)
Sonography Radiologic Technologist Primary 2471S1302XNone listed

Sonography Radiologic Technologist: A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.

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About NPI 1801935044

Kenneth Michael Jordan, OWNER's National Provider Identifier is 1801935044, issued on Feb 5, 2007. The primary taxonomy on file is Sonography Radiologic Technologist (2471S1302X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 11, 2025.