Individual
WILLIAM CORBLY GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036123127
IL
207T00000X
Neurological Surgery Physician
Primary
43547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675413
ANTHEM - NNIKY
KY
01
—
000052155Z
HUMANA - NNIKY
KY
01
—
118047
SIHO - NNIKY
KY
05
—
201019170
—
IN
01
—
289438
CIGNA - NNIKY
KY
01
—
50029987
PASSPORT & PASSPORT ADVANTAGE - NNIKY
KY
05
—
7100128470
—
KY
Enumeration date
04/17/2008
Last updated
04/17/2025
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