Individual
DR. WILLIAM HARSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 S COURT ST, SCOTTSVILLE, KY 42164-1263
(270) 239-4000
(270) 796-9328
Mailing address
PO BOX 90039, BOWLING GREEN, KY 42102-9039
(270) 796-8800
(270) 796-9328
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044740
ANTHEM
KY
01
—
50006915
PASSPORT
KY
05
—
64244478
—
KY
01
—
700005564
RAILROAD MEDICARE
KY
Enumeration date
06/09/2005
Last updated
06/06/2014
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