NPI 1033627153

Candace Lebette Ford

Practitioner Student in an Organized Health Care Education/Training Program Wichita, KS

Practice location

Address: 5500 E Kellogg Dr, Wichita, KS 67218-1607
Phone: (316) 685-2221
Fax: (316) 634-3075

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033627153
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2018
Record last updated: 11 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.