Ivey, Jordan Keeley

Ivey, Jordan Keeley is an individual health care provider with primary practice located at 104 J E Briscoe Way , Madison AL 35758-4822. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Ivey, Jordan Keeley can be contacted via phone (256) 705-3000.

Contact Information

Primary practice address
104 J E Briscoe Way Madison AL 35758-4822
Phone: (256) 705-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 44203 Alabama

Profile Details

NPI number 1609368380
LBN Legal business name Ivey, Jordan Keeley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2018
Last updated Dec 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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