Ford, Kim C.

Ford, Kim C. is an individual health care provider with primary practice located at 2500 Canyon Rd, Building B Unite 2, Bullhead City AZ 86442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ford, Kim C. can be contacted via phone (928) 444-1444.

Contact Information

Primary practice address
2500 Canyon Rd, Building B Unite 2 Bullhead City AZ 86442
Fax: (928) 444-1445
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3148 Arizona

Profile Details

NPI number 1144468398
LBN Legal business name Ford, Kim C.
Credentials MSN,FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2009
Last updated Mar 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144468398 NPPES
Arizona MEDICAID 468995

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