Individual
DR. KIMBERLY A FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5067
(215) 707-5126
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD429502
PA
207RI0008X
Hepatology Physician
MD429502
PA
207RT0003X
Transplant Hepatology Physician
Primary
MD429502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
BCBS-DC
—
01
—
0039732900
FEDERAL BLACK LUNG BENEFITS
—
01
—
1194604
AETNA/US HEALTHCARE HMO
—
01
—
131330
JHHC
—
01
—
407244800
AMERIGROUP - AMERICAID
—
05
—
407244800
—
MD
01
—
64615501
BCBS-MD
—
01
—
689LK994
WELLCARE
—
01
—
7362809
AETNA / US HEALTHCARE
—
Enumeration date
08/09/2005
Last updated
10/12/2020
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