Individual
MR. WILLIAM R DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 18TH ST, CORBIN, KY 40701
(606) 526-9664
(606) 526-6263
Mailing address
513 18TH ST, PO BOX 459, CORBIN, KY 40701
(606) 526-9664
(606) 526-6263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64326424
—
KY
Enumeration date
11/02/2006
Last updated
11/19/2009
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