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1659444735 NPI number — WILL W WARD JR. M.D.

NPI Number: 1659444735
Health Care Provider/Practitioner: WILL W WARD JR. M.D.

Information about “1659444735” NPI (WILL W WARD JR. M.D.) exists in 1659444735 in HTML format HTML  |  1659444735 in plain Text format TXT  |  1659444735 in PDF (Portable Document Format) PDF  |  1659444735 in an XML format XML  formats.

NPI Number : 1659444735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659444735",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WARD",
    "FirstName": "WILL",
    "MiddleName": "W",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 950202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40295-0202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-969-6552",
    "MailingAddressFaxNumber": "502-212-1358",
    "FirstLinePracticeLocationAddress": "825 BARRET AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40204-1743",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-540-7200",
    "PracticeLocationAddressFaxNumber": "502-540-7209",
    "EnumerationDate": "11/16/2006",
    "LastUpdateDate": "11/01/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "13090",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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