Active NPI
Kelly Ford, CST,CFA
- Other Specialist/Technologist
- Owensboro, KY
National Provider Identifier
1093948622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 84189
- Practice address
- 2200 E Parrish Ave.
BLDG B, Ste 203
Owensboro, KY 42303 - Phone
- (270) 691-9697
- Fax
- (270) 691-0485
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 84189 | KY | Primary |
Addresses
Primary practice location
2200 E Parrish Ave.
BLDG B, Ste 203
Owensboro, KY 42303
Mailing address
2200 E Parrish Ave.
BLDG B, Ste 203
Owensboro, KY 42303
Phone (270) 691-9697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84189 | KY | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1093948622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 E PARRISH AVE.",
"address_2": "BLDG B, STE 203",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-691-9697",
"fax_number": "270-691-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 E PARRISH AVE.",
"address_2": "BLDG B, STE 203",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-691-9697",
"fax_number": "270-691-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KELLY",
"credential": "CST,CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "KY",
"license": "84189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.