Colburn, William Richard

Colburn, William Richard is an individual health care provider with primary practice located at 83 Wellness Way , Benton KY 42025-7156. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Colburn, William Richard can be contacted via phone (270) 527-8601.

Contact Information

Primary practice address
83 Wellness Way Benton KY 42025-7156
Phone: (270) 527-8601
Fax: (270) 527-9615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18412 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18412 Kentucky

Profile Details

NPI number 1003834540
LBN Legal business name Colburn, William Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003834540 NPPES
Kentucky MEDICAID 64184120

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