| NPI | 1770366510 |
|---|---|
| Former Legal Business Name | KEILAH FORD |
| Doing Business As | KEILAH FORD |
| Entity Type | Organization |
| Authorized Contact | KEILAH BAKER FORD Nurse Practitioner 601-334-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |