Individual
WILLIAM M NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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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