MEDICARE: DR. RYAN C WARD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4548	KY

General Provider Information

NPI Number	:	1356345334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN C WARD D.C.

Provider Business Mailing Address
First Line	:	3513 BIRKENHEAD CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-4204
Country	:	US
Telephone Number	:	859-494-1411
Fax Number	:	859-309-6102

Provider Business Practice Location Address
First Line	:	108 PASADENA DR
Second Line	:	SUITE 100
City	:	LEXINGTON
State	:	KY
Zip	:	40503-2966
Country	:	US
Telephone Number	:	859-494-1411
Fax Number	:	859-309-6102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	10/22/2010

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Directions to “ DR. RYAN C WARD D.C.” Practice Location

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