Provider Demographics
NPI:1730576166
Name:WARD, CALVIN LEE (MD)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:LEE
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NICHOLASVILLE RD STE 703
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1467
Mailing Address - Country:US
Mailing Address - Phone:859-269-6970
Mailing Address - Fax:859-276-3765
Practice Address - Street 1:1700 NICHOLASVILLE RD STE 703
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1467
Practice Address - Country:US
Practice Address - Phone:859-269-6970
Practice Address - Fax:859-276-3765
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.136582207V00000X
KY53545207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100683440Medicaid