Individual
KIMBER ANDERSON WARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 14TH AVE NW, ER DEPT., ARDMORE, OK 73401-1828
(580) 220-6415
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
24198
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20040050A
—
OK
01
—
P00275399
RR MEDICARE
OK
Enumeration date
04/06/2006
Last updated
03/11/2015
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