Individual
KIMBERLY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3301 C ST, BLDG 550, SACRAMENTO, CA 95816-3300
(916) 556-3164
(916) 773-5920
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA51991
CA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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