William Robert Southall
William Robert Southall is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
500 S Preston St Rm 305Louisville, KY 40202-1702
Phone: (859) 940-8503
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1386386423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2022 |
| Last updated in NPPES | April 9, 2022 |
| Certification date | April 9, 2022 |
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