What is Kennedy Jordahl's NPI number?

Kennedy Jordahl's National Provider Identifier (NPI) is 1083478606, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kennedy Jordahl's specialty?

Kennedy Jordahl is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Kennedy Jordahl located?

Kennedy Jordahl's practice location on file with NPPES is 2061 Highway 52, Moncks Corner, SC 29461-5017.

What is Kennedy Jordahl's phone number?

The practice phone number listed in the NPPES registry for Kennedy Jordahl is (843) 761-8824.

Is Kennedy Jordahl's NPI active?

Yes — Kennedy Jordahl's NPI (1083478606) is active in the NPPES registry as of the last update on 2026-02-13.

IndividualActive

Kennedy Jordahl

NPI 1083478606 · Physician Assistant · Moncks Corner, SC

Kennedy Jordahl is a Physician Assistant provider in Moncks Corner, SC (NPI 1083478606).

Provider details

NPI number: 1083478606
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2061 Highway 52

Moncks Corner, SC 29461-5017

Phone: (843) 761-8824

Street-level locationGet directions

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Mailing address