Provider Demographics
NPI:1730936915
Name:TORNEDEN, JORDAN (RD)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:
Last Name:TORNEDEN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6158 N MATTOX RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2500
Mailing Address - Country:US
Mailing Address - Phone:816-416-6780
Mailing Address - Fax:
Practice Address - Street 1:6158 N MATTOX RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-2500
Practice Address - Country:US
Practice Address - Phone:816-416-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered