William Robert Revelette
MD | Pediatric Adolescent Medicine | Male
William Robert Revelette, MD is a Nicholasville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of William Robert Revelette is
101 Orchard Dr, Nicholasville, Kentucky - 40356-2690. He can be contacted on phone at
859-881-4288.
William Robert Revelette is a sole proprietor of his business.
NPI number (Unique professional ID) for William Robert Revelette is
1639146996 which was assigned by NPPES on 07 Mar, 2006 and it was last updated on 03 Apr, 2021.
William Robert Revelette license number is
31337 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
William Robert Revelette specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
William Robert Revelette basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | William Robert Revelette |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
William Robert Revelette address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 101 Orchard Dr
Nicholasville, KY, 40356-2690
United States |
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| Phone Number : | 859-881-4288 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639146996 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Mar, 2006 |
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| Last Updated On : | 03 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for William Robert Revelette are as mentioned. Primary taxonomy code for William Robert Revelette, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 31337 | KY |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 31337 | KY |
Legacy Identifiers:
Other legacy medical identifiers of William Robert Revelette such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 64313372 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 215 E 11th St
Newport, KY, 41071-2203
United States |
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| Phone Number : | 859-655-6100 |
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Business Location:
Patients can refer following map for directions to
William Robert Revelette practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.