Individual
WILLIAM P WILLIAMSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 ABRAHAM FLEXNER WAY, SUITE 500, LOUISVILLE, KY 40202-3826
(502) 584-3376
(502) 584-1385
Mailing address
220 ABRAHAM FLEXNER WAY, SUITE 500, LOUISVILLE, KY 40202-3826
(502) 584-3376
(502) 584-1385
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25809
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048657
ANTHEM
KY
01
—
1049835
PASSPORT
KY
05
—
200024010
—
IN
01
—
2432688000
PASSPORT ADVANTAGE
KY
01
—
61-1086535
TAX ID
KY
05
—
64258098
—
KY
Enumeration date
02/15/2006
Last updated
06/09/2022
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