Koontz, William L
Koontz, William L is an individual health care provider with primary practice located at 4121 Dutchmans Ln Suite 300, Louisville KY 40207-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Koontz, William L can be contacted via phone (502) 899-6755.Contact Information
Primary practice address
4121 Dutchmans Ln Suite 300
Louisville KY 40207-4707
Phone: (502) 899-6755
Fax: (502) 899-6753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 22633 | Kentucky |
Profile Details
| NPI number | 1699777268 |
|---|---|
| LBN Legal business name | Koontz, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Apr 23rd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699777268 | NPPES |
| Kentucky | MEDICAID | 64226335 | |
| Kentucky | Other | K024790 |
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