Individual
KALI BENET' FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
734 HARTWOOD CV, BRANDON, MS 39042-6008
(601) 594-8005
Mailing address
734 HARTWOOD CV, BRANDON, MS 39042-6008
(601) 594-8005
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
MRT4793
MS
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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