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Individual

MR. ANTHONY CARL WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
20 MEDICAL VILLAGE DR STE 100, EDGEWOOD, KY 41017-5403
(859) 341-7688
(859) 341-4476
Mailing address
20 MEDICAL VILLAGE DR STE 100, EDGEWOOD, KY 41017-5403
(859) 341-7688
(859) 341-4476

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO-109
KY
222Z00000X
Orthotist
LPO.00217
OH
224P00000X
Prosthetist
Primary
LPO-109
KY
224P00000X
Prosthetist
LPO.00217
OH

Other

Enumeration date
11/21/2018
Last updated
11/21/2018
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