Individual
KATHRYN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 E MICHIGAN AVE, JACKSON, MI 49201-9198
(517) 917-5580
Mailing address
7800 E MICHIGAN AVE, JACKSON, MI 49201-9198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125055
MI
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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