Kelly P Ward is a Physician Assistant in Athens, Georgia. Kelly P Ward practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly P Ward is 1073595104. The last update date is 2022-07-21.
Kelly P Ward's current location address is 1500 Oglethorpe Ave Ste 500b, Athens, Georgia. You can contact this provider via phone number 7063695440. The mailing address for Kelly P Ward is 1500 Oglethorpe Ave Ste 500b, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly P Ward |
|---|---|
| Address | 1500 Oglethorpe Ave Ste 500b, Athens, Georgia |
| Phone Number | 7063695440 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1073595104 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1500 Oglethorpe Ave Ste 500b |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306062184 |
| Phone Number | 7063695440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3050 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139754792A | GA | -- |
Post Comment/ Review Below
What is the Kelly P Ward's unique identification number?
The Kelly P Ward has been assigned the NPI (National Provider Identifier) Number 1073595104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kelly P Ward's facilities are geographically located?
The facilities of Kelly P Ward are physically situated at the following location: 1500 Oglethorpe Ave Ste 500B, Athens, GA, 306062184.
What is Kelly P Ward's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly P Ward's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Kelly P Ward's 1073595104 issued?
The Kelly P Ward's 1073595104 was issued on 2005-11-15.
When was the information regarding Kelly P Ward most recently updated?
The details pertaining to the Kelly P Ward, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.