Individual
WILLIAM RICHARD COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 WELLNESS WAY, BENTON, KY 42025-7156
(270) 527-8601
(270) 527-9615
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18412
KY
208D00000X
General Practice Physician
18412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64184120
—
KY
Enumeration date
07/17/2006
Last updated
06/08/2015
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