Revelette, William Robert

Revelette, William Robert is an individual health care provider with primary practice located at 101 Orchard Dr , Nicholasville KY 40356-2690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Revelette, William Robert can be contacted via phone (859) 881-4288.

Contact Information

Primary practice address
101 Orchard Dr Nicholasville KY 40356-2690
Phone: (859) 881-4288
Fax: (859) 881-4388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31337 Kentucky
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 31337 Kentucky

Profile Details

NPI number 1639146996
LBN Legal business name Revelette, William Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jun 24th, 2024 - about 2 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 1639146996 NPPES
Kentucky MEDICAID 64313372

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