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, MARCUM & WALLACE HOSPITAL, IRVINE, KY 40336-1331
(606) 723-2115
Mailing address
PO BOX 508, RICHMOND, KY 40476-0508
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232384
ANTHEM BLUE CROSS PIN
KY
05
—
65937377
—
KY
Enumeration date
06/14/2007
Last updated
07/23/2007
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