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NPI Code Detail

MEDICARE: KATLYN FORD

MEDICARE: KATLYN FORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness CoachCA

General Provider Information

NPI Number : 1376499905
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATLYN FORD
Provider Business Mailing Address
First Line : 4850 PEDLEY RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92509-3966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4850 PEDLEY RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92509-3966
Country : US
Telephone Number : 951-360-4175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ KATLYN FORD ” Practice Location

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