Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Jordan, MD

Individual provider Pediatrics Physician · NPI 1083060396

Kelly Jordan, MD is a Pediatrics Physician in Oakland, California. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana and Washington.

Licensed in
LA, WA
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

747 52nd St
Oakland, CA 94609-1809
Phone: (510) 428-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence MD60945855 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD60945855 (WA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 333542 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083060396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2016
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

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