Kelly E Fordham, PA-C Valid NPI

Individual provider · Physician Assistant · Mountain Brk, AL

NPI

1578983433

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA.961 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2014-04-18

Last updated

2025-04-04