Individual provider · Type 1 NPI

Kevin Ford

Addiction (Substance Use Disorder) Counselor · Great Bend, KS

NPI number 1780073247 Active

Practice location

5815 Broadway Ave
Great Bend, KS 67530-3123

Call (620) 792-2544 Map

Fax (620) 792-7052

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X218 (KS)
Addiction (Substance Use Disorder) Counselor 101YA0400XKCGC-I (KS)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780073247

Kevin Ford's National Provider Identifier is 1780073247, issued on Jan 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Great Bend, KS. The record was last updated on Jan 21, 2015.