Provider Demographics
NPI:1487728028
Name:FORD, KATHIE BATTEY (LVN)
Entity type:Individual
Prefix:
First Name:KATHIE
Middle Name:BATTEY
Last Name:FORD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HILLTOP
Mailing Address - Street 2:
Mailing Address - City:TROPHY CLUB
Mailing Address - State:TX
Mailing Address - Zip Code:76262-5458
Mailing Address - Country:US
Mailing Address - Phone:940-367-8416
Mailing Address - Fax:
Practice Address - Street 1:400 HILLTOP
Practice Address - Street 2:
Practice Address - City:TROPHY CLUB
Practice Address - State:TX
Practice Address - Zip Code:76262-5458
Practice Address - Country:US
Practice Address - Phone:940-367-8416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119690164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse