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NPI Code Detail

MEDICARE: DR. ROBERT ANDREW WILLIAMS MD

MEDICARE: DR. ROBERT ANDREW WILLIAMS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician29179OK
2207P00000XEmergency Medicine Physician48644KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129179OTHEROKOK MEDICAL LICENSE
248644OTHERKYKY MED LICENSE
3ME130007OTHERFLFL MED LICENSE
4R1673OTHERTXTX MED LICENSE

General Provider Information

NPI Number : 1558627125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ANDREW WILLIAMS MD
Provider Business Mailing Address
First Line : 222 MEDICAL CIR
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1179
Country : US
Telephone Number : 606-783-6611
Fax Number :
Provider Business Practice Location Address
First Line : 3615 NEWBURG RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3368
Country : US
Telephone Number : 502-909-0772
Fax Number : 855-859-0123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2012
Last Update Date : 12/19/2022

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