| Kathryn L Ford Family Practice Center, L.l.c. | |
|
870 South Govenors Ave. Dover DE 19904-4108 | |
| (302) 674-8088 | |
| (302) 674-8213 |
| Full Name | Kathryn L Ford Family Practice Center, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 870 South Govenors Ave., Dover, Delaware |
| Authorized Official Name and Position | Paul Wendell Ford (MEDICAL DOCTOR) |
| Authorized Official Contact | 3026748088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn L Ford Family Practice Center, L.l.c. 870 South Govenors Ave. Dover DE 19904-4108 Ph: (302) 674-8088 | Kathryn L Ford Family Practice Center, L.l.c. 870 South Govenors Ave. Dover DE 19904-4108 Ph: (302) 674-8088 |
| NPI Number | 1245370246 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/27/2013 |
| Medicare PECOS PAC ID | 3577620731 |
|---|---|
| Medicare Enrollment ID | O20090316000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245370246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C1-0002538 (Delaware) | Primary |
| Provider Name | Paul W Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053315531 PECOS PAC ID: 2668539826 Enrollment ID: I20120213000309 |
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