Individual
KATHIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4324 FULTON RD, CORRYTON, TN 37721-4203
(865) 386-2183
Mailing address
4324 FULTON RD, CORRYTON, TN 37721-4203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000152127
NM
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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