Individual
WILLIAM S BURTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BLUEGRASS AVE, HIPS, LOUISVILLE, KY 40215-1161
(502) 367-3360
(502) 367-3365
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 367-3360
(502) 367-3365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070126A
IN
207R00000X
Internal Medicine Physician
Primary
43056
KY
207RN0300X
Nephrology Physician
01070126A
IN
207RN0300X
Nephrology Physician
43056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201051050
—
IN
05
—
7100135250
—
KY
Enumeration date
05/04/2007
Last updated
03/21/2018
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