DR. KENNETH WESLEY JORDAN DC
NPI 1902867252
Chiropractor in Georgetown, SC

Active since March 28, 2006
705 NORTH FRASER ST, GEORGETOWN, SC 29442(843) 235-0546(843) 527-8353 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Wesley Jordan Dc NPPES

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

DR. KENNETH WESLEY JORDAN DC (NPI 1902867252) is an individual chiropractor in Georgetown, South Carolina, licensed in South Carolina (3056) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1902867252
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH WESLEY JORDANCredential: DC
Location Address705 NORTH FRASER STGeorgetown, SC 29442-0958
Mailing Address705 North Fraser StreetGeorgetown, SC 29442-0958 · (843) 235-0546 · Fax (843) 527-8353
Fax(843) 527-8353
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 16, 2008
NPI 1902867252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in SC · 3056
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
705 NORTH FRASER ST, Georgetown, SC 29442

Other Identifiers 2

Medicare PINT042420281SC
MedicaidGCH507SC

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 Kenneth Jordan's NPI number?

The NPI number for Kenneth Jordan is 1902867252. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Kenneth Jordan located?

Kenneth Jordan practices at 705 North Fraser St, Georgetown, SC 29442. The listed phone number is (843) 235-0546.

What is Kenneth Jordan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jordan was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.