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Organization

WILLIAM S. WITT PLLC

Active
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Organization

WILLIAM S. WITT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM S. WITT M.D. (PRESIDENT)
(502) 226-3858
Entity
Organization

Contact information

Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
Mailing address
PO BOX 5007, FRANKFORT, KY 40602-5007
(502) 226-3858
(502) 223-9829

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232384
ANTHEM BLUE CROSS
KY
01
16-00141
UNITED HEALTHCARE
KY
01
300135581
RAILROAD MEDICARE
05
65937377
KY
01
C71854
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/23/2007
Last updated
05/01/2013
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