Individual
DR. WILLIAM L KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4121 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4707
(502) 899-6755
(502) 899-6753
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 899-6755
(502) 899-6753
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
22633
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64226335
—
KY
01
—
K024790
MEDICARE- WOMEN'S SPECIALISTS
KY
Enumeration date
08/12/2005
Last updated
04/23/2012
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