Individual provider · NPI-1

William Gregory Devine Jr., MD

Internal Medicine · Danville, KY

NPI number1699745646
StatusActive
Last updated in NPPESNov 11, 2015

Details

NPI
1699745646
Entity type
Individual (NPI-1)
Name
William Gregory Devine Jr.
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 24, 2006
Last updated
Nov 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35368KYYes
207L00000X Anesthesiology35368KY
207LC0200X Anesthesiology, Critical Care Medicine35368KY
208M00000X Hospitalist35368KY

Practice location

312 W Lexington Ave
Danville, KY 40422-1410

Phone 270-724-0328

Mailing address

312 W Lexington Ave
Danville, KY 40422-1410

Phone 270-724-0328

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