Ward, Kelly P

Ward, Kelly P is an individual health care provider with primary practice located at 1500 Oglethorpe Ave Ste 500B , Athens GA 30606-2184. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ward, Kelly P can be contacted via phone (706) 369-5440.

Contact Information

Primary practice address
1500 Oglethorpe Ave Ste 500B Athens GA 30606-2184
Phone: (706) 369-5440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003050 Georgia

Profile Details

NPI number 1073595104
LBN Legal business name Ward, Kelly P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073595104 NPPES
Georgia MEDICAID 139754792A

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