Healthcare Provider Details

I. General information

NPI: 1528086873
Provider Name (Legal Business Name): BRIAN ALEXANDER WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 BOB O LINK DR STE 120
LEXINGTON KY
40504-3760
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-277-3737
  • Fax: 859-277-3765
Mailing address:
  • Phone: 606-330-7818
  • Fax: 606-330-7825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number39472
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: