Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 45804 | KY |
NPI | 1033343579 |
---|---|
Provider Name | William Fredrick Dotson II |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40241-2845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 03/05/2021 |