Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kenneth N Jordan, DO

Family Medicine Physician in Pontiac, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710081708

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Registry record

Entity type Individual (Type 1)

Name Kenneth N Jordan

Credential DO

Sex Male

Practice address 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL, 61764

Phone (815) 844-6106

Fax (815) 842-2526

Enumeration date Sep 11, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 003036052185 (IL) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
036052185	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kenneth Jordan?

The National Provider Identifier (NPI) for Kenneth Jordan is 1710081708, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kenneth Jordan practice?

The practice location on file with NPPES is in Pontiac, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.