Mr. Kenneth Michael Jordan, OWNER
Mr. Kenneth Michael Jordan, OWNER is a Radiography Radiologic Technologist in Ft Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4201 E Loop 820 S Ste CFt Worth, TX 76119-4443
Phone: (817) 507-0185
Fax: (817) 507-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sonography Radiologic Technologist (primary) | Taxonomy 2471S1302X (TX) |
|---|---|
| Radiography Radiologic Technologist | Taxonomy 2471C3402X · Licence 0304041589 (TX) |
Record details
| NPI number | 1801935044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | No |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | September 11, 2025 |