Forde, Kimberly A
Forde, Kimberly A is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is her primary health care specialty. Forde, Kimberly A can be contacted via phone (215) 707-5067.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140-5103
Phone: (215) 707-5067
Fax: (215) 707-5126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD429502 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD429502 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | MD429502 | Pennsylvania |
Profile Details
| NPI number | 1093716417 |
|---|---|
| LBN Legal business name | Forde, Kimberly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093716417 | NPPES |
| Other | 0039732900 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 7362809 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 1194604 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 407244800 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 689LK994 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 131330 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 0003 | FEDERAL BLACK LUNG BENEFITS | |
| MEDICAID | 407244800 | FEDERAL BLACK LUNG BENEFITS | |
| Other | 64615501 | FEDERAL BLACK LUNG BENEFITS |
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