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Individual

WILLIAM E CHILDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 CROSSFIELD DR, STE A, VERSAILLES, KY 40383-1845
(859) 873-9843
(859) 873-0972
Mailing address
115 CROSSFIELD DR, STE A, VERSAILLES, KY 40383-1845
(859) 873-9843
(859) 873-0972

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21525
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047822
ANTHEM BCBS
KY
01
0037679
MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT
KY
01
0400353
UNITED HEALTHCARE
KY
01
110031154
RAILROAD MEDICARE
KY
01
1284109
UMWA
KY
01
1404232
UMWA
KY
01
611012421004
TRICARE
KY
01
611012421E
HUMANA HMO
KY
01
64100696
MEDICAID - FAYETTE COUNTY HEALTH DEPARTMENT
KY
05
64215254
KY
Enumeration date
05/24/2005
Last updated
01/18/2022
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