Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 383011 | NY |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 383011 | NY |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 383011 | NY |
NPI | 1225680903 |
---|---|
Provider Name | Katelyn C Ford |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2019 |
Last Update Date | 18/07/2019 |