Individual
RUSSELL ALAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, STE 902, LOUISVILLE, KY 40202-3841
(502) 583-5948
(502) 583-1804
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 583-5948
(502) 583-1804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24718
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64247182
—
KY
01
—
K209590-KOHMG
KY MEDICARE
KY
Enumeration date
10/10/2005
Last updated
01/23/2019
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