KENNEDY JORDAHL
NPI 1083478606
Physician Assistant in Moncks Corner, SC

Active since February 13, 2024
2061 HIGHWAY 52, MONCKS CORNER, SC 29461(843) 761-8824 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Jordahl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY JORDAHL (NPI 1083478606) is an individual physician assistant in Moncks Corner, South Carolina and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1083478606
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY JORDAHL
Location Address2061 HIGHWAY 52Moncks Corner, SC 29461-5017
Mailing Address2061 Highway 52Moncks Corner, SC 29461-5017 · (843) 761-8800
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1083478606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2061 HIGHWAY 52, Moncks Corner, SC 29461

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2061 HIGHWAY 52
MONCKS CORNER, SC 29461
Neurological Surgery
2061 HIGHWAY 52
MONCKS CORNER, SC 29461
Radiology (Diagnostic Radiology)
2061 HIGHWAY 52, 400
MONCKS CORNER, SC 29461
Orthopaedic Surgery
2061 HIGHWAY 52
MONCKS CORNER, SC 29461
Physician Assistant
2061 HIGHWAY 52
MONCKS CORNER, SC 29461
Physical Therapist
2061 HIGHWAY 52
MONCKS CORNER, SC 29461
Family Medicine
2061 HIGHWAY 52
MONCKS CORNER, SC 29461
Physician Assistant
2061 HIGHWAY 52
MONCKS CORNER, SC 29461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Jordahl's NPI number?

The NPI number for Kennedy Jordahl is 1083478606. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Kennedy Jordahl located?

Kennedy Jordahl practices at 2061 Highway 52, Moncks Corner, SC 29461. The listed phone number is (843) 761-8824.

What is Kennedy Jordahl's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Jordahl was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.