Individual
MS. KALESHA MARIE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2605 CHURCH ST, CROSS PLAINS, WI 53528-9674
(608) 576-7089
Mailing address
130 CUMBERLAND LN, MADISON, WI 53714-2324
(608) 333-3293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318207
WI
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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