Individual
DR. JERALD M FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2245 WINCHESTER AVE STE 1, SUITE 150, ASHLAND, KY 41101-7848
(606) 324-2554
(606) 324-2581
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
15865
KY
Other
Enumeration date
08/18/2006
Last updated
04/25/2017
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