Provider Demographics
NPI:1679784961
Name:CALVO-SAINZ, IGNACIO FELIPE (MD)
Entity Type:Individual
Prefix:
First Name:IGNACIO
Middle Name:FELIPE
Last Name:CALVO-SAINZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:IGNACIO
Other - Middle Name:FELIPE
Other - Last Name:CALVO SAINZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:VANCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41179-0550
Mailing Address - Country:US
Mailing Address - Phone:606-796-3029
Mailing Address - Fax:606-796-6221
Practice Address - Street 1:927 KENTON STATION DR
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9609
Practice Address - Country:US
Practice Address - Phone:606-759-0433
Practice Address - Fax:606-759-0058
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42410207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100067720Medicaid
KY7100067720Medicaid