Ford, Kylie

Ford, Kylie is an individual health care provider with primary practice located at 2848 Cottage Grove Rd , Cottage Grove WI 53527-8862. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ford, Kylie can be contacted via phone (608) 839-6363.

Contact Information

Primary practice address
2848 Cottage Grove Rd Cottage Grove WI 53527-8862
Phone: (608) 839-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1002656-15 Wisconsin

Profile Details

NPI number 1396413951
LBN Legal business name Ford, Kylie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Aug 31st, 2021 - about 5 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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