Individual
MR. KEVIN MICHAEL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
101 CHEROKEE PL, LOUDON, TN 37774-4162
(865) 408-9344
Mailing address
101 CHEROKEE PL, LOUDON, TN 37774-4162
(865) 408-9344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1847
TN
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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