Individual
WILLIAM M NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7370 TURFWAY RD, STE 302, FLORENCE, KY 41042
(859) 371-4020
(859) 746-7464
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-0175
(859) 441-3698
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00165
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032629
ANTHEM
KY
01
—
27-00334
UHC
KY
01
—
4393890
AETNA
KY
05
—
80001654
—
KY
05
—
90040080
—
KY
Enumeration date
07/13/2005
Last updated
09/06/2018
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