Kennedy Jordahl, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Kennedy Jordahl is licensed to practice in * (Not Available) (license number ) and her current practice location is
700 Daniel Ellis Dr Apt 8207, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 469-5191.
NPI number for Kennedy Jordahl is 1083478606 and her current mailing address is 700 Daniel Ellis Dr Apt 8207, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083478606.
Provider's Profile
| Full Name | Kennedy Jordahl |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 700 Daniel Ellis Dr Apt 8207, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083478606
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Kennedy Jordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083478606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennedy Jordahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kennedy Jordahl,
700 Daniel Ellis Dr Apt 8207,
Charleston, SC 29412-3063
Ph: (843) 469-5191 | Kennedy Jordahl,
700 Daniel Ellis Dr Apt 8207,
Charleston, SC 29412-3063
Ph: (843) 469-5191 |
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