Individual
WILLIAM LIDDELL FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-9918
(859) 323-1197
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-9918
(859) 323-1197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50226
KY
208M00000X
Hospitalist Physician
Primary
50226
KY
Other
Enumeration date
07/31/2014
Last updated
07/10/2017
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