Individual
DERRICK H WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
305 ESTILL ST, 4TH FLOOR, BEREA, KY 40403-1742
(859) 986-2343
(859) 986-2344
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03671
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100253400
—
KY
Enumeration date
09/20/2011
Last updated
05/08/2019
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