Individual
KERLANGE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W GODFREY AVE STE 3100, PHILADELPHIA, PA 19141-3323
(215) 444-7469
(215) 764-6555
Mailing address
1919 SMITH AVE, WILLOW GROVE, PA 19090-3818
(267) 257-5245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP023149
PA
Other
Enumeration date
01/26/2021
Last updated
04/05/2025
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