Individual
KIPPLIN LASHAWN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8384 BAYMEADOWS RD STE 13, JACKSONVILLE, FL 32256-7437
(904) 424-3795
Mailing address
12250 ATLANTIC BLVD APT 1307, JACKSONVILLE, FL 32225-5808
(904) 424-3795
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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