Individual
DR. ROYCE FORD CALHOUN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2465
(859) 301-4941
Mailing address
2300 CHAMBER CENTER DR, STE 300, LAKESIDE PARK, KY 41017-1686
(859) 301-9010
(859) 301-9018
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
48735
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G871490
MEDICARE PTAN - REGENTS OF THE UNIVERSITY OF CALIFORNIA
CA
05
—
0157044
—
OH
05
—
1477535110
—
CA
05
—
200438920
—
IN
05
—
7100400970
—
KY
Enumeration date
11/17/2005
Last updated
10/29/2020
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