Individual
DR. KYLE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
120 HOSPITAL DR STE 200, LEBANON, MO 65536-9227
(417) 533-6780
Mailing address
120 HOSPITAL DR STE 200, LEBANON, MO 65536-9227
(417) 533-6780
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208600000X
Surgery Physician
Primary
2011003946
MO
Other
Enumeration date
06/29/2009
Last updated
06/08/2020
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