Individual
KIMBERLY PAULETTE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
Mailing address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
HHA12051
DC
374U00000X
Home Health Aide
Primary
HHA12051
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70048497
—
DC
Enumeration date
11/07/2019
Last updated
09/18/2024
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