Individual
KENNETH CHARLES HOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19567 CLEVELAND RD, SOUTH BEND, IN 46637-3201
(574) 277-7600
Mailing address
179 SHOREWOOD DR, VALPARAISO, IN 46385-7710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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