Provider Demographics
NPI:1497861777
Name:FELTNER, WILLIAM D (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:FELTNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1866 OLD LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-9663
Mailing Address - Country:US
Mailing Address - Phone:270-465-3588
Mailing Address - Fax:270-465-2635
Practice Address - Street 1:1866 OLD LEBANON RD
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-9663
Practice Address - Country:US
Practice Address - Phone:270-465-3588
Practice Address - Fax:270-465-2635
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000051359OtherANTHEM GREENSBURG
KY01-00758OtherUNITED HEALTHCARE PIN
KY64022510Medicaid
KY000000051360OtherANTHEM CAMPBELLSVILLE OFF
KY64022510Medicaid
KY0634701Medicare PIN
KY000000051359OtherANTHEM GREENSBURG
KY6347Medicare PIN