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Contact Information

KIMBERLY A FORDE, MD
3401 N BROAD ST
PHILADELPHIA, PA19140-5103
 Phone: 215-707-5067
 Fax: 215-707-5126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hepatology

207RI0008X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY A FORDE · (Female)

NPI Number 1093716417
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 10/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD429502
  • MD Medicaid 407244800
  • Other 7362809 AETNA / US HEALTHCARE
  • Other 1194604 AETNA/US HEALTHCARE HMO
  • Other 407244800 AMERIGROUP - AMERICAID
  • Other 0003 BCBS-DC
  • Other 64615501 BCBS-MD
  • Other 0039732900 FEDERAL BLACK LUNG BENEFITS
  • Other 131330 JHHC
  • Other 689LK994 WELLCARE
Hospital affiliation(s)
  • TEMPLE UNIVERSITY HOSPITAL - (Acute Care)
    3401 NORTH BROAD STREET
    PHILADELPHIA, PA 19140
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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