Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 22473 | KY |
NPI | 1104814367 |
---|---|
Provider Name | Dr. William M Parell |
First Address | Lexington, KY 40503-2518 |
Second Address | Lexington, KY 40503-2518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 17/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64224736 | (05) | KY |
C74701 | (02) | KY |