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Individual
KELLEY FORD SHIPPEY III
Active
Individual
KELLEY FORD SHIPPEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35354
SC
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-70337
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35354
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
60172
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MED-PHYS-LIC-70337
MT
2080S0012X
Pediatric Sleep Medicine Physician
35354
SC
2080S0012X
Pediatric Sleep Medicine Physician
Primary
60172
KY
2080S0012X
Pediatric Sleep Medicine Physician
MED-PHYS-LIC-70337
MT
Other
Enumeration date
05/29/2007
Last updated
03/21/2025
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