Individual
JENNIFER LYNN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
44 MCCOY AVE, SUITE 442, MADISONVILLE, KY 42431-2867
(270) 824-6655
(270) 824-6629
Mailing address
44 MCCOY AVE, SUITE 442, MADISONVILLE, KY 42431-2867
(270) 824-6655
(270) 824-6629
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA198
KY
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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