Individual
MR. BILLY B MINTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
KCSA, SA-C
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4134
(270) 651-4234
Mailing address
116 BRITTANY LN, GLASGOW, KY 42141-5120
(270) 202-9006
(734) 869-1874
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA107
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22000000387591
ANTHEM ID #
KY
Enumeration date
05/08/2006
Last updated
07/08/2007
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