Individual
MR. BENJAMIN WAYNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9500
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
05144
TX
363A00000X
Physician Assistant
Primary
PA1629
KY
Other
Enumeration date
06/02/2008
Last updated
11/30/2015
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