Koontz, William L

Koontz, William L is an individual health care provider with primary practice located at 4121 Dutchmans Ln Suite 300, Louisville KY 40207-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Koontz, William L can be contacted via phone (502) 899-6755.

Contact Information

Primary practice address
4121 Dutchmans Ln Suite 300 Louisville KY 40207-4707
Fax: (502) 899-6753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 22633 Kentucky

Profile Details

NPI number 1699777268
LBN Legal business name Koontz, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Apr 23rd, 2012 - about 12 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 1699777268 NPPES
Kentucky MEDICAID 64226335
Kentucky Other K024790

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