Individual
MR. WILLIAM GORDAN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
935 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041-9210
(606) 849-3374
(606) 845-0646
Mailing address
935 ELIZAVILLE AVE, PO BOX 426, FLEMINGSBURG, KY 41041-9210
(606) 849-3374
(606) 845-0646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22690
KY
Other
Enumeration date
10/31/2005
Last updated
12/18/2015
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