Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 204083 | LA |
N | 207P00000X | Emergency Physician | 23953 | MS |
N | 207R00000X | Internist | 23953 | MS |
N | 111NI0900X | Internist | 23953 | MS |
Y | 207RC0200X | Critical Care Medicine | 0101268541 | VA |
N | 207RC0200X | Critical Care Medicine | 036153169 | IL |
NPI | 1073756227 |
---|---|
Provider Name | Kara Elizabeth Ward |
First Address | Gulfport, MS 39501-2515 |
Second Address | Newport News, VA 23601-2344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2009 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376013958 | IRS (01) | IL |