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Individual

DR. WILLIAM JOHN VAN BENEDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
613 23RD ST STE 420, ASHLAND, KY 41101-2885
(606) 325-8561
(606) 325-3591
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
03158
KY

Other

Enumeration date
05/10/2007
Last updated
07/14/2020
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