Individual
DR. WILLIAM BECK JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(024) 566-6555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60650
KY
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
60650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087607
—
MO
Enumeration date
03/27/2016
Last updated
02/02/2026
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