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

Kennedy Jordahl

Individual provider Physician Assistant · NPI 1083478606

Kennedy Jordahl is a Physician Assistant in Moncks Corner, South Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2061 Highway 52
Moncks Corner, SC 29461-5017
Phone: (843) 761-8824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083478606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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