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Contact Information

KANDIS D FORDHAM, PA-C
556 SANDHURST DR
FAYETTEVILLE, NC28304-4426
 Phone: 910-483-2646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KANDIS D FORDHAM · (Female)

NPI # 1417467408
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/04/2017
Last updated 04/08/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-07636
Hospital affiliation(s) Not Available
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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