Individual
MR. JEFFREY EUGENE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
134 PHILLIPS DRIVE, WICKLIFFE, KY 42087
(270) 335-3335
(270) 443-7122
Mailing address
PO BOX 7626, PADUCAH, KY 42002-7626
(270) 443-2900
(270) 443-7122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA443
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354820
ANTHEM INDIVIDUAL
KY
05
—
95005757
—
KY
Enumeration date
10/23/2006
Last updated
10/27/2009
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