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1205860392
KERRY K FORD
GEORGETOWN, TX
NPI
1205860392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX E6080)
Enumeration Date
2006-07-11
Last Update Date
2012-03-25
Business Address
-- KERRY K FORD MD
510 E 15TH ST
GEORGETOWN, TX 78626-6941
Phone number: 512-948-7093
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Mailing Address
-- KERRY K FORD MD
PO BOX 2987
GEORGETOWN, TX 78627-2987
Phone number: 512-948-7093
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