Individual
DR. KEVIN M. WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9223
Mailing address
2111 14TH ST, MERIDIAN, MS 39301-4041
(601) 693-3834
(601) 484-3222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18539
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009971155
MEDICAID OF AL
—
05
—
07852370
—
MS
01
—
73014027
BLUE CROSS OF AL
—
Enumeration date
09/12/2005
Last updated
07/10/2017
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