Dr Kevin R Jordan, DMD | |
154 Scott St., Olive Hill, KY 41164 | |
(606) 286-4121 | |
Not Available |
Full Name | Dr Kevin R Jordan |
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Gender | Male |
Speciality | Dentist |
Location | 154 Scott St., Olive Hill, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275850067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | KY6868 (Kentucky) | Primary |
Entity Name | Valley Health Systems, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
Entity Name | Valley Health Systems, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477216919 PECOS PAC ID: 9931017969 Enrollment ID: O20220602001110 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin R Jordan, DMD 154 Scott St., Olive Hill, KY 41164 Ph: (606) 286-4142 | Dr Kevin R Jordan, DMD 154 Scott St., Olive Hill, KY 41164 Ph: (606) 286-4121 |
Dr. Randall Lee Baker, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 413 Blevins Holw, Olive Hill, KY 41164 Phone: 606-286-5980 |