Individual
MRS. KAITLIN MITSUKO FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16916A
WY
2085R0202X
Diagnostic Radiology Physician
36136
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0072261
CO
Other
Enumeration date
05/09/2018
Last updated
07/16/2024
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