Individual provider · NPI-1

Dr. Joshua William Childers, DO

Internal Medicine · Somerset, KY

NPI number1225724115
StatusActive
Last updated in NPPESFeb 27, 2026

Details

NPI
1225724115
Entity type
Individual (NPI-1)
Name
Dr. Joshua William Childers
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 13, 2023
Certification date
Feb 27, 2026
Last updated
Feb 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine06112KYYes
390200000X Student in an Organized Health Care Education/Training Program–KY

Practice location

305 Langdon St
Somerset, KY 42503-2750

Phone 606-451-5093

Mailing address

140 Teague Ln
Jacksboro, TN 37757-2043

Phone 931-477-0881

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