Individual
KATHERINE GRACE FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 BOGUE ST, EAST LANSING, MI 48824-6207
(517) 432-8163
Mailing address
7368 ANDY CT, HUDSONVILLE, MI 49426-7529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704353576
MI
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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