Individual
DR. TIMOTHY C FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
142 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 897-1616
(502) 897-7412
Mailing address
142 CHENOWETH LN, LOUISVILLE, KY 40207-2651
(502) 897-1616
(502) 897-7412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00181
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233713
ANTHEM
KY
01
—
4530240001
DMERC REGION B
KY
01
—
480034122
RAILROAD MEDICARE
KY
05
—
80001811
—
KY
Enumeration date
05/17/2006
Last updated
02/23/2011
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