KELLY WARD


Address: 101 West Coast Road Suite A, Redway, CA 95560
Phone: 7079234313

KELLY WARD (NPI# 1790222479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790222479
Entity Type Individual
Full Name KELLY WARD
Practice Address 101 West Coast Road Suite A
Redway
CA 95560
Mailing Address 1173 Angel Heights Dr
Fortuna
CA 95540-1530
Practice Telephone 7079234313
Practice Fax Number 7079232590
Mailing Telephone 7074078071
Enumeration Date 2017-01-19
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 29096 CA Dental Providers

Other Providers KELLY WARD

NPI Name Taxonomy Address Enumeration
1972850725 Kelly Ward Registered Nurse 22330 Montana Dr, Lawrenceburg, IN 47025-7446 2012-08-11
1730462557 Kelly Ward Speech-Language Pathologist 445 Wild Ridge Rd, Morehead, KY 40351-9561 2011-09-28
1295876332 Kelly Ward Counselor 400 Cedar Ave, Department of Social Work, West Long Branch, NJ 07764-1804 2007-02-10
1528016912 Kelly E Ward Nurse Practitioner 8300 E 96th St, Fishers, IN 46037-9795 2006-05-05
1851877906 Kelly Ward Social Worker 2015 Congress St, Houston, TX 77002-2323 2018-07-12
1043708530 Kelly Mcdowell Ward Speech-Language Pathologist 915 Court St, Lynchburg, VA 24504-1603 2018-04-30
1538668934 Kelly Ward Behavior Technician 2151 Professional Dr Ste 100, Roseville, CA 95661-3761 2018-02-12
1770948226 Kelly Jasmine Ward Registered Nurse 4600 Broadway, Suite 1100, Sacramento, CA 95820-1527 2015-12-29
1689042871 Kelly Ward Specialist 816 Nw Hill St, Bend, OR 97703-2925 2015-09-04
1538582549 Kelly Ward Registered Nurse 70 S River St, Aurora, IL 60506-5185 2014-01-27

Office Location

Street Address 101 WEST COAST ROAD SUITE A
City REDWAY
State CA
Zip Code 95560

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093965725 Pearl Mcginley Acupuncturist 3168 Redwood Dr, Redway, CA 95560 2008-09-30
1023290301 Blake Jerome Olson Dentist 101 Westcoast Rd., Redway, CA 95560 2007-11-29
1699803262 Frank J. Di Bari Dentist 76 Briceland Road, Redway, CA 95560 2007-03-02
1700950276 Maryanne Riley Nurse Practitioner 101 Westcoast Rd, Redway, CA 95560 2006-11-17
1689748147 Marilyn Lee Foote Social Worker 101 West Coast Rd, Redway, CA 95560 2006-11-17
1447324900 Kathleen Louise Hartje Acupuncturist 101 Westcoast Road, Redway, CA 95560 2006-11-17
1689764136 Matthew R Winkle Dentist 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560 2006-10-13
1235220542 Richard Linn Dentist 355 Briceland Road, Redway, CA 95560 2006-09-28
1093717019 Steve A Norton Dentist 76 Briceland Rd, Redway, CA 95560 2005-08-10
1013482231 Morgan Danielle Hines Physician Assistant 101 West Coast Rd, B, Redway, CA 95560 2018-10-04
Find all providers in zip 95560

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447719869 Natalie Goltz Dental Hygienist 101 West Coast Rd., Redway, CA 95560-9556 2019-03-15
1043702475 Susan Bowles Dental Hygienist 101 West Coast Rd., Redway, CA 95560-0769 2018-06-01
1780916429 James G Paige Dental Hygienist 101 Westcoast Rd, Redway, CA 95560-0769 2010-02-05
1124242888 Megan Mccormack Dental Hygienist 101 West Coast Rd, Redway, CA 95560 2007-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841046 Betty Satomi Fukumoto Dental Hygienist 16008 S Manhattan Pl, Gardena, CA 90247-3681 2020-11-08
1417558180 Maria Antonette De Lara Kim Dental Hygienist 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 2020-11-07
1083215982 Sokbunntha Yan Dental Hygienist 5810 Fidler Ave, Lakewood, CA 90712-1251 2020-11-06
1649871914 Maryam Ghahramani Shahneshin Dental Hygienist 1961 Grove Pl, Escondido, CA 92027-4101 2020-11-04
1285234047 Maryann Detar Dental Hygienist 3154 Alum Rock Ave, San Jose, CA 95127-2903 2020-10-29
1194325597 Connie Lim Good Dental Hygienist 14th Street Bldg 13128, Oceanside, CA 92055 2020-10-27
1336748896 Cynthia Garcia Macdougall Dental Hygienist 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 2020-10-25
1346849163 Ambrosia Evon Steljes Dental Hygienist Building 13128 14th Street, Camp Pendleton, CA 92055-5221 2020-10-22
1427657261 Julie Lynn March Dental Hygienist 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 2020-10-22
1386243327 Leticia Isabel Alcantar Dental Hygienist Bldg 520448, Camp Pendleton, CA 92055 2020-10-21
Find all providers with the same taxonomy

Competitor

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City REDWAY
Zip Code 95560

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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