Healthcare Provider Details
I. General information
NPI: 1174713994
Provider Name (Legal Business Name): WILLIAM PATRICK HOSKINS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/27/2007
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
911 BYPASS RD BLDG A
PIKEVILLE KY
41501-1689
US
IV. Provider business mailing address
PO BOX 432
PIKEVILLE KY
41502-0432
US
V. Phone/Fax
- Phone: 606-430-2209
- Fax: 606-218-7509
- Phone: 606-430-2209
- Fax: 606-218-7509
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207YS0123X |
| Taxonomy | Facial Plastic Surgery Physician |
| License Number | 03299 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 03299 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: