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General NPI Number Information
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NPI Number | 1255646717
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Entity Type | Individual
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Provider Name | KIMBERLY WYNELL WARD AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 118 COLLEGE DRIVE #5092
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City | HATTIESBURG
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State | MS
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Zip | 39406
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Country | US
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Telephone | 601-266-5257
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Fax | 601-266-5224
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Provider Business Mailing Address
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Address Line | 118 COLLEGE DRIVE #5092
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City | HATTIESBURG
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State | MS
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Zip | 39406
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Country | US
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Telephone | 601-266-5257
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Fax | 601-266-5224
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 327
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A3484
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License Number State | MS
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