Individual
DAVID WAYNE FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
1276 WOLF CREEK RD, NANCY, KY 42544-6621
(606) 875-4262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189023
ANTHEM ID NUMBER
KY
05
—
65933749
—
KY
Enumeration date
05/31/2005
Last updated
02/15/2012
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