Individual
WILLIAM K. DANIELS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MEDPARK DR, SOMERSET, KY 42503-2797
(606) 679-9322
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35084151
OH
207L00000X
Anesthesiology Physician
Primary
43068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2516352
—
OH
05
—
7100156260
—
KY
Enumeration date
09/20/2005
Last updated
04/20/2017
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