Healthcare Provider Details

I. General information

NPI: 1730576166
Provider Name (Legal Business Name): CALVIN LEE WARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 NICHOLASVILLE RD STE 703
LEXINGTON KY
40503-1467
US

IV. Provider business mailing address

1700 NICHOLASVILLE RD STE 703
LEXINGTON KY
40503-1467
US

V. Phone/Fax

Practice location:
  • Phone: 859-269-6970
  • Fax: 859-276-3765
Mailing address:
  • Phone: 859-269-6970
  • Fax: 859-276-3765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.136582
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number53545
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: