Mr. William Kelly Vincent
Family Doctor Family Doctor - Addiction Medicine
222 Phillip Stone Way
Central City
, Kentucky 42330-1929
Mr. William Kelly Vincent
Family Doctor Family Doctor - Addiction Medicine
222 Phillip Stone Way
Central City
, Kentucky 42330-1929
(270) 754-3494
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mr. William Kelly Vincent
- 222 Phillip Stone Way
- Central City, KY
- Zip : 42330-1929
- Fax : (270) 754-3494
- Phone : (270) 754-3494
Second Address
- Mr. William Kelly Vincent
- 222 Phillip Stone Way
- Central City, KY
- Zip : 42330-1929
- Fax : (270) 754-3499
- Phone : (270) 754-3494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 36099 | KY |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 36099 | KY |
National Provider Identifier
| NPI | 1801897855 |
|---|---|
| Provider Name | Mr. William Kelly Vincent |
| First Address | Central City, KY 42330-1929 |
| Second Address | Central City, KY 42330-1929 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 16/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64017379 | (05) | KY |
| G74369 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.