Provider Demographics
NPI:1285727156
Name:LINDSAY, GRANT WARD (DC)
Entity type:Individual
Prefix:DR
First Name:GRANT
Middle Name:WARD
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 NICHOLASVILLE RD
Mailing Address - Street 2:STE 114
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3178
Mailing Address - Country:US
Mailing Address - Phone:859-278-5800
Mailing Address - Fax:859-278-8102
Practice Address - Street 1:2417 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 114
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3178
Practice Address - Country:US
Practice Address - Phone:859-278-5800
Practice Address - Fax:859-278-8102
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY10804636OtherCAQH
KY440000-7OtherUNITED HEALTHCARE
KY607447OtherACN
KY000000049548OtherBC/BS
KY391886617OtherTRAIDHEALTHCARE/MULTIPLAN
KY85040996Medicaid
KYT675OtherBC/BS
KY9169164OtherCIGNA