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Dr. Kyle Blake Fordham, MD
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1972244929

Kyle Blake Fordham is a Student in an Organized Health Care Education/Training Program based in Loma Linda, CA. Kyle Blake Fordham practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Kyle Blake Fordham is 1972244929 and holds a License No. (California).

The current practice location address for Kyle Blake Fordham is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-4174.

Location: 11234 Anderson St, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972244929
Provider Name
Kyle Blake Fordham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 92354-2804
Phone Number
909-558-4174
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4174
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4174
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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