Provider Demographics
NPI:1285670521
Name:WARD, KRAIG ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRAIG
Middle Name:ALLAN
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 15TH AVE S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4324
Mailing Address - Country:US
Mailing Address - Phone:406-731-8888
Mailing Address - Fax:406-731-8813
Practice Address - Street 1:500 15TH AVE S
Practice Address - Street 2:SUITE 1
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4324
Practice Address - Country:US
Practice Address - Phone:406-731-8888
Practice Address - Fax:406-731-8813
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10555208VP0014X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0075633Medicaid
MT810347861OtherCHAMPUS
MT000097965OtherBLUE CROSS BLUE SHIELD
MT0197456OtherWASHINGTON L & I
MT0285670521OtherFEDERAL WORK COMP
MTP00134088OtherRAILROAD MEDICARE
MT000084049Medicare PIN
MTP00134088OtherRAILROAD MEDICARE
MT0197456OtherWASHINGTON L & I