Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 37308 | KY |
NPI | 1013955822 |
---|---|
Provider Name | Dr. William Barrett |
First Address | Maysville, KY 41056-8725 |
Second Address | Maysville, KY 41056-8725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 18/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
37308 | MD LISC (01) | KY |
BB7878361 | DEA (01) | KY |