Individual
MRS. KELLI LYNN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 234-3343
Mailing address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 234-3343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80273
WV
367500000X
Certified Registered Nurse Anesthetist
RN500594L
PA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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