Conyer, William R

Conyer, William R is an individual health care provider with primary practice located at 5158 Village Square Dr , Paducah KY 42001-9060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conyer, William R can be contacted via phone (270) 443-4311.

Contact Information

Primary practice address
5158 Village Square Dr Paducah KY 42001-9060
Fax: (270) 443-4145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21496 Kentucky

Profile Details

NPI number 1366409088
LBN Legal business name Conyer, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 28th, 2008 - about 17 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 1366409088 NPPES
Kentucky MEDICAID 64214968

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