Provider Demographics
NPI:1275364788
Name:KEMNITZ, JORDAN LEE ANN (DC)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:LEE ANN
Last Name:KEMNITZ
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 MEADOWLARK CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-8475
Mailing Address - Country:US
Mailing Address - Phone:479-652-0579
Mailing Address - Fax:
Practice Address - Street 1:8748 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-2036
Practice Address - Country:US
Practice Address - Phone:913-967-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024024074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor