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Katelyn Michelle Ford

Speech-Language Pathologist, in Purvis, MS. Individual provider (NPI-1).

NPI number1083239883
StatusActive
Last updated in NPPESJun 8, 2020

Details

NPI
1083239883
Entity type
Individual (NPI-1)
Name
Katelyn Michelle Ford
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2020
Certification date
Jun 8, 2020
Last updated
Jun 8, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

62 Ede Bounds Ln
Purvis, MS 39475-4325

Phone 601-325-4154

Mailing address

62 Ede Bounds Ln
Purvis, MS 39475-4325

Phone 601-325-4154

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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