Individual
HALDEN H FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 PARISA DR, PADUCAH, KY 42003-4584
(270) 444-8477
(270) 444-8479
Mailing address
3101 PARISA DR, PADUCAH, KY 42003-4584
(270) 444-8477
(270) 444-8479
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32680
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64326804
—
KY
Enumeration date
08/15/2005
Last updated
09/20/2021
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