Provider Demographics
NPI:1023844149
Name:SHEFFIELD-WARD, KAMSHA ANN
Entity type:Individual
Prefix:
First Name:KAMSHA
Middle Name:ANN
Last Name:SHEFFIELD-WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 PARK ROW AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-2251
Mailing Address - Country:US
Mailing Address - Phone:903-450-2654
Mailing Address - Fax:
Practice Address - Street 1:2607 PARK ROW AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-2251
Practice Address - Country:US
Practice Address - Phone:903-450-2654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist