Individual
CHAD FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1298
(937) 298-4331
Mailing address
9107 MARQUIS DR, MIAMISBURG, OH 45342-7421
(937) 219-1208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
369266
OH
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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