Healthcare Provider Details

I. General information

NPI: 1932557303
Provider Name (Legal Business Name): WILLIAM SNAPP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 NICHOLASVILLE RD STE 101
LEXINGTON KY
40503-1410
US

IV. Provider business mailing address

1760 NICHOLASVILLE RD STE 101
LEXINGTON KY
40503-1410
US

V. Phone/Fax

Practice location:
  • Phone: 859-899-7950
  • Fax:
Mailing address:
  • Phone: 859-899-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number57136
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberLP03702
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: