Individual
KATHLEEN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1509 AVENUE G, COUNCIL BLUFFS, IA 51501-2516
(712) 325-1544
(712) 325-0420
Mailing address
423 N 40TH ST APT 10, OMAHA, NE 68131-2365
(217) 415-8531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7377
NE
122300000X
Dentist
Primary
DDS-09396
IA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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