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NPI Code Detail

MEDICARE: KAYLA WARD

MEDICARE: KAYLA WARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker124988-01NY

General Provider Information

NPI Number : 1316764509
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA WARD
Provider Business Mailing Address
First Line : 2209 BROADWAY ST
Second Line :
City : BUFFALO
State : NY
Zip : 14212-2201
Country : US
Telephone Number : 716-907-6341
Fax Number :
Provider Business Practice Location Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 914-269-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2024
Last Update Date : 09/20/2024

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Directions to “ KAYLA WARD ” Practice Location

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