Longworth, William

Longworth, William is an individual health care provider with primary practice located at 1250 Keene Rd Ste 102 , Nicholasville KY 40356. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Longworth, William can be contacted via phone (859) 887-6752.

Contact Information

Primary practice address
1250 Keene Rd Ste 102 Nicholasville KY 40356
Phone: (859) 887-6752
Fax: (859) 887-6879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009269 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3009269 Kentucky

Profile Details

NPI number 1912399486
LBN Legal business name Longworth, William
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2015
Last updated Aug 12th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912399486 NPPES
Kentucky MEDICAID 7100347760

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