Provider Demographics
NPI:1013955822
Name:BARRETT, WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1340 MEDICAL PARK DR
Mailing Address - Street 2:STE 7
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-8725
Mailing Address - Country:US
Mailing Address - Phone:606-759-0077
Mailing Address - Fax:888-742-1125
Practice Address - Street 1:1340 MEDICAL PARK DR
Practice Address - Street 2:STE 7
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-8725
Practice Address - Country:US
Practice Address - Phone:606-759-0077
Practice Address - Fax:888-742-1125
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY37308207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY37308OtherMD LISC
KY37308OtherMD LISC