Individual
KENNETH MARIO WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP127988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351228701
—
TX
Enumeration date
09/11/2015
Last updated
12/23/2015
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