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Individual

KEVIN R WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Mailing address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN147488
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN-NP147488
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000908696A
GA
05
891002400
AL
Enumeration date
06/22/2006
Last updated
10/10/2025
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