Individual
WILLEM JOHAN SIMON DEVILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5116
Mailing address
2333 ALUMNI PARK PLZ STE 200, LEXINGTON, KY 40517-4022
(859) 218-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33295
KY
207RG0100X
Gastroenterology Physician
33295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64332950
—
KY
Enumeration date
08/02/2006
Last updated
04/30/2008
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