Provider Demographics
NPI:1821367285
Name:WARD, MELODY G (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:G
Last Name:WARD
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 N HYDRAULIC RD
Mailing Address - Street 2:
Mailing Address - City:BELLE PLAINE
Mailing Address - State:KS
Mailing Address - Zip Code:67013-8232
Mailing Address - Country:US
Mailing Address - Phone:316-621-1600
Mailing Address - Fax:
Practice Address - Street 1:454 N HYDRAULIC RD
Practice Address - Street 2:
Practice Address - City:BELLE PLAINE
Practice Address - State:KS
Practice Address - Zip Code:67013-8232
Practice Address - Country:US
Practice Address - Phone:316-621-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN