Individual
KACEY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8565
Mailing address
9258 E BLUE RIVER RD, PEKIN, IN 47165-8385
(812) 883-8565
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28279461A
IN
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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