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1578983433
KELLY E FORDHAM
MOUNTAIN BRK, AL
NPI
1578983433
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Former Name
KELLY E DAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA.961)
Enumeration Date
2014-04-18
Last Update Date
2025-04-04
Business Address
KELLY E FORDHAM PA-C
2900 CAHABA RD
MOUNTAIN BRK, AL 35223-1937
Phone number: 205-877-9773
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Mailing Address
KELLY E FORDHAM PA-C
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008
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