Provider Demographics
NPI:1700849213
Name:WARD, CYNTHIA J (DO)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:WARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3599 RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2078
Mailing Address - Country:US
Mailing Address - Phone:913-588-6094
Mailing Address - Fax:913-588-6965
Practice Address - Street 1:3599 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-3276
Practice Address - Country:US
Practice Address - Phone:913-588-6094
Practice Address - Fax:913-588-6965
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040221962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2380417OtherCIGNA
MO5959716OtherAETNA
MO208380709Medicaid
MO100017627OtherCOMMUNITY HEALTH PLAN
MO34552011OtherBLUE SHIELD
MOMA4872004Medicare UPIN
MO208380709Medicaid
MO208380709Medicaid
MO827D346AMedicare ID - Type Unspecified