Individual
DR. NANCY WILLIAM BETHUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1907 W SYCAMORE ST FL 3, KOKOMO, IN 46901-5148
(765) 236-8363
Mailing address
1907 W SYCAMORE ST FL 3, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086071A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01086071A
IN
207RP1001X
Pulmonary Disease Physician
01086071A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2018
Last updated
08/28/2024
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