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Individual
KATELYN C FORD
Active
Individual
KATELYN C FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
383011
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
383011
NY
363LP0200X
Pediatric Nurse Practitioner
383011
NY
Other
Enumeration date
07/12/2019
Last updated
06/30/2023
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