Individual
WILLIAM R BANKS II
Active
Individual
WILLIAM R BANKS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34789
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000200356
ANTHEM BLUE SHIELD
KY
01
—
0037675
MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT
KY
01
—
0400997
UNITED HEALTHCARE
KY
01
—
110224279
RAILROAD MEDICARE
KY
01
—
611012421
TPN CONTRACTS
KY
01
—
611012421004
TRICARE CHAMPUS
KY
01
—
611012421Y
HUMANA
KY
05
—
64-018013
—
KY
01
—
H19626
BLUEGRASS HMO
KY
Enumeration date
08/24/2005
Last updated
02/04/2020
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