Individual
KELLY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25927
MS
2085R0202X
Diagnostic Radiology Physician
56815
TN
2085R0202X
Diagnostic Radiology Physician
Primary
U8976
TX
2085R0204X
Vascular & Interventional Radiology Physician
25927
MS
2085R0204X
Vascular & Interventional Radiology Physician
56815
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2013
Last updated
07/10/2024
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