Individual
MR. WILLIAM KELLY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FASAM
Contact information
Practice address
228 HOPKINSVILLE ST, GREENVILLE, KY 42345-1231
(270) 377-3077
(270) 338-1234
Mailing address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(270) 754-3494
(270) 754-3494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36099
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
36099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64017379
—
KY
Enumeration date
08/02/2005
Last updated
03/18/2026
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