Individual
WILLIAM SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
105 BRUCE PROFESSIONAL PLZ, SUITE D, MT STERLING, KY 40353-8504
(859) 498-0082
(859) 215-0329
Mailing address
105 BRUCE PROFESSIONAL PLZ, SUITE D, MT STERLING, KY 40353-8504
(859) 498-0082
(859) 215-0329
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02328
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215567
ANTHEM
KY
01
—
50005448
PASSPORT
KY
05
—
64023286
—
KY
01
—
930114901
RR-MEDICARE
KY
Enumeration date
07/20/2006
Last updated
06/02/2010
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