Provider Demographics
NPI:1962456756
Name:PARSON, BILLY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:J
Last Name:PARSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 OXFORD WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2813
Mailing Address - Country:US
Mailing Address - Phone:606-679-7464
Mailing Address - Fax:606-678-8586
Practice Address - Street 1:26 OXFORD WAY
Practice Address - Street 2:SUITE B
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2813
Practice Address - Country:US
Practice Address - Phone:606-679-7464
Practice Address - Fax:606-678-8586
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18472174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64184724Medicaid
KY1450401Medicare ID - Type Unspecified
KY64184724Medicaid
KY000000048922Medicare ID - Type Unspecified