Kadegdra Ford
NPI #1558186916 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1558186916
- Entity Type
- Individual
- Name
- Kadegdra Ford
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Nov 20, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 1201 S DIVISION ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-5445
- Phone
- (870) 763-2390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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