# KEVIN WARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780934760
- **Gender:** Man
- **Credential:** D.O

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 125060900 | IL | — |
| 207V00000X | Obstetrics & Gynecology Physician | 77984 | GA | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/26/2019