Individual
WILLIAM J HOUSWORTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32354
KY
207R00000X
Internal Medicine Physician
Primary
32354
KY
208000000X
Pediatrics Physician
32354
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64323546
—
KY
Enumeration date
06/24/2005
Last updated
10/23/2023
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