Individual
DR. ALAN KEITH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S AUBURN STREET, KENNEWICK, WA 99336-5621
(509) 586-5779
(509) 586-5178
Mailing address
PO BOX 1441, AMARILLO, TX 79105-1441
(509) 586-5779
(509) 586-5178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00016666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8560401
—
WA
Enumeration date
08/24/2006
Last updated
05/01/2008
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