Healthcare Provider Details

I. General information

NPI: 1851591754
Provider Name (Legal Business Name): WILLIAM M. PARELL, MD, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NICHOLASVILLE RD STE 103
LEXINGTON KY
40503-2517
US

IV. Provider business mailing address

2101 NICHOLASVILLE RD STE 103
LEXINGTON KY
40503-2517
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-0494
  • Fax: 859-275-5086
Mailing address:
  • Phone: 859-278-0494
  • Fax: 859-275-5086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number224736
License Number StateKY

VIII. Authorized Official

Name: DR. WILLIAM M PARELL
Title or Position: OWNER
Credential: MD
Phone: 859-278-0494