Individual
WILLIAM MATTHEW COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 EASTERN BYP, MEDICAL BLDG.# 2 SUITE 5, RICHMOND, KY 40475-2406
(859) 624-2229
(859) 625-9458
Mailing address
795 EASTERN BYP, MEDICAL BLDG.# 2 SUITE 5, RICHMOND, KY 40475-2406
(859) 624-2229
(859) 625-9458
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495871
ANTHEM BLUE CROSS & BLUE SHIELD
KY
01
—
40492
MEDICAL LICENSE NUMBER
KY
05
—
64128788
—
KY
Enumeration date
09/27/2006
Last updated
12/02/2020
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