Individual
KELLY E FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPSS
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4548
Mailing address
4556 S 2200 W, TAYLORSVILLE, UT 84129-6049
(801) 403-3813
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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