Individual
KATHLEEN M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E RIDGEWOOD AVE, PARAMUS, NJ 07652-3917
(615) 610-7705
(833) 464-4086
Mailing address
558 OAKHOLLOW LN, LANOKA HARBOR, NJ 08734-2130
(610) 733-0559
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP0616362
PA
Other
Enumeration date
07/27/2016
Last updated
06/18/2025
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