Healthcare Provider Details

I. General information

NPI: 1881515468
Provider Name (Legal Business Name): JORDAN KILE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 MARLTON PIKE E STE V105
CHERRY HILL NJ
08003-4101
US

IV. Provider business mailing address

28 CARDINAL WAY
MOUNT LAUREL NJ
08054-1450
US

V. Phone/Fax

Practice location:
  • Phone: 856-751-0505
  • Fax:
Mailing address:
  • Phone: 410-340-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07088500
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: