Individual
WILLIAM J MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
PATTIE A CLAY HOSPITAL, 801 EASTERN BYPASS, RICHMOND, KY 40475
(859) 624-1879
(859) 625-3171
Mailing address
789 EASTERN BYP, BUILDING 1, SUITE 2A, RICHMOND, KY 40475-2415
(859) 624-1879
(859) 625-3171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1087703
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74002163
—
KY
Enumeration date
10/17/2006
Last updated
01/13/2012
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