Provider Demographics
NPI:1760401996
Name:DEBUYS, WILLIAM D (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:DEBUYS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2865 CHANCELLOR DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3912
Mailing Address - Country:US
Mailing Address - Phone:859-341-5400
Mailing Address - Fax:859-578-4594
Practice Address - Street 1:2865 CHANCELLOR DR
Practice Address - Street 2:SUITE 225
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3912
Practice Address - Country:US
Practice Address - Phone:859-341-5400
Practice Address - Fax:859-578-4594
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2014-11-07
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Provider Licenses
StateLicense IDTaxonomies
KY39871208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000381067OtherANTHEM PROVIDER NUMBER