Provider Demographics
NPI:1811565278
Name:WARD, KIMBERLY KARTESSA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:KARTESSA
Last Name:WARD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3422 BUSINESS CENTER DR STE 106-120
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4155
Mailing Address - Country:US
Mailing Address - Phone:832-392-8749
Mailing Address - Fax:281-888-5945
Practice Address - Street 1:3806 HIFORD DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047
Practice Address - Country:US
Practice Address - Phone:832-392-8749
Practice Address - Fax:281-888-5945
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX891251163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management