| Doctor Name: | KRISTEN NICOLE WARD |
| NPI Number: | 1083909170 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 172774 |
| Business Practice Address: | 170 Manning Dr Emergency Med.,pob 1st Fl, Cb# 7594 Chapel Hill, NC - 275144221 |
| Business Phone Number: | 9199666442 |
| Business Fax Number: | 9199663049 |
| Mailing Address: | 170 Manning Dr, Emergency Med.,pob 1st Fl, Cb# 7594 CHAPEL HILL |
| State: | NC |
| Postal Code: | 275144221 |
| Phone Number: | 9199666442 |
| Fax Number: | 9199663049 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 03/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 172774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |