Individual
WILLIAM A. GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE AUDUBON PLAZA DR, RADIOLOGY, LOUISVILLE, KY 40217
(502) 636-7774
Mailing address
450 EXECUTIVE PARK, LOUISVILLE, KY 40207-4204
(502) 897-3214
(502) 897-7685
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18543
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64185432
—
KY
Enumeration date
07/05/2006
Last updated
07/08/2007
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