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Individual

KELLY E FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
382 HILLSDALE CIR, WADSWORTH, OH 44281-1008
(330) 592-6450
Mailing address
382 HILLSDALE CIR, WADSWORTH, OH 44281-1008
(330) 592-6450

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
348255
OH

Other

Enumeration date
05/26/2020
Last updated
05/26/2020
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