Individual
DR. KIMBERLY YVETTE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
411 MAXINE DR, MORTON, IL 61550-2495
(309) 263-2411
(309) 263-2208
Mailing address
411 MAXINE DR, MORTON, IL 61550-2495
(309) 263-2411
(309) 263-2208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36-124222
IL
Other
Enumeration date
08/07/2007
Last updated
07/28/2011
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