Kimberly Jo Fordham, MD

NPI #1376568808 in Middletown, California

Provider Information

NPI Number: 1376568808
Entity Type: Individual
Name: Kimberly Jo Fordham, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 13, 2006
Last Updated: Jan 6, 2010

Practice Location

Address: 21337 BUSH STREET
City: Middletown
State: California
ZIP Code: 95461-1519
Phone: (707) 987-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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