Provider Demographics
NPI:1881433704
Name:FORD, KATHRYN E (RN)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:FORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 MARLBOROUGH ST
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3633
Mailing Address - Country:US
Mailing Address - Phone:857-498-1499
Mailing Address - Fax:
Practice Address - Street 1:166 MARLBOROUGH ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3633
Practice Address - Country:US
Practice Address - Phone:857-498-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach