Individual
KENNETH LEROY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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