Healthcare Provider Details

I. General information

NPI: 1285735902
Provider Name (Legal Business Name): WILLIAM D. FELTNER, D.O., PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1866 OLD LEBANON RD
CAMPBELLSVILLE KY
42718-9663
US

IV. Provider business mailing address

PO BOX 5007
FRANKFORT KY
40602-5007
US

V. Phone/Fax

Practice location:
  • Phone: 270-465-3588
  • Fax: 270-465-2635
Mailing address:
  • Phone: 502-226-3858
  • Fax: 502-223-9829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM D. FELTNER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 270-465-3588