Individual
KIMBERLY IRENE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(215) 955-6000
Mailing address
1020 SANSOM ST, STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061130
PA
Other
Enumeration date
10/29/2019
Last updated
01/30/2020
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