Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 30764 | KY |
N | 2082S0105X | Plastic Hand Surgeon | 01044263A | IN |
N | 2082S0105X | Plastic Hand Surgeon | 30764 | KY |
NPI | 1851385140 |
---|---|
Provider Name | William L O'neill JR. |
First Address | Lexington, KY 40509 |
Second Address | Lexington, KY 40509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 09/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200073450A | (05) | IN |
64307648 | (05) | KY |
G15959 | (02) | |
G15959 | (02) | KY |