Provider Demographics
NPI:1407435175
Name:WARD, WHITNEY L (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:L
Last Name:WARD
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6238 RAYTOWN TRFY
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-3847
Mailing Address - Country:US
Mailing Address - Phone:816-558-0613
Mailing Address - Fax:
Practice Address - Street 1:6238 RAYTOWN TRFY
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-3847
Practice Address - Country:US
Practice Address - Phone:816-558-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management