Individual
KENNETH G. WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 OPITZ BLVD, WOODBRIDGE, VA 22191-3359
(703) 690-1152
(703) 551-4557
Mailing address
2010 OPITZ BLVD, WOODBRIDGE, VA 22191-3359
(703) 690-1152
(703) 551-4557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101029792
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101029792
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6325327
—
VA
Enumeration date
02/14/2006
Last updated
12/18/2019
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