Individual provider · Type 1 NPI
Kenneth Wesley Jordan, DC
Chiropractor · Georgetown, SC
NPI number
1902867252
Active
Practice location
705 North Fraser St
Georgetown, SC 29442-0958
Fax (843) 527-8353
Mailing address
705 North Fraser Street
Georgetown, SC 29442-0958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3056 (SC) |
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.
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About NPI 1902867252
Kenneth Wesley Jordan, DC's National Provider Identifier is 1902867252, issued on Mar 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Georgetown, SC. The record was last updated on Jul 16, 2008.