Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM ROBERT REVELETTE, MD
ActiveWILLIAM ROBERT REVELETTE, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in NICHOLASVILLE, Kentucky. NPI 1639146996 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · NICHOLASVILLE, KY
Registration Details
- NPI Number
- 1639146996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2006 (20.468312975421 yrs)
- Last Updated
- Jun 24, 2024
- Licenses
-
31337 (KY)31337 (KY)
Practice Information
- Address
-
101 ORCHARD DRNICHOLASVILLE, KY, 403562690Browse KY providers · Browse ZIP 40356
- Phone
- 8598814288
- Fax
- 8598814388
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
- Additional Specialty
- Adolescent Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.