Individual provider · Type 1 NPI
William Frederick Kortum Iii, MD
General Practice Physician · Lafayette, LA
NPI number
1225156151
Active
Practice location
3414 Moss St Ste A
Lafayette, LA 70507-6107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 027100 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1225156151
William Frederick Kortum Iii, MD's National Provider Identifier is 1225156151, issued on Mar 27, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 8, 2007.