Basic Information
| Provider Information | |||||||||
| NPI: | 1750356200 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRENT | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7370 TURFWAY RD | ||||||||
| Address2: | STE 390 | ||||||||
| City: | FLORENCE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410424895 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592125125 | ||||||||
| FaxNumber: | 8592125099 | ||||||||
| Practice Location | |||||||||
| Address1: | 7370 TURFWAY RD | ||||||||
| Address2: | STE 390 | ||||||||
| City: | FLORENCE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410424895 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592125125 | ||||||||
| FaxNumber: | 8592125099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2006 | ||||||||
| LastUpdateDate: | 10/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 02725 | KY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 5199100 | 01 | KY | CIGNA | OTHER | 611395668 | 01 | KY | UNITED HEALTH CARE | OTHER | 611395668 | 01 | KY | AETNA | OTHER | 3072222 | 05 | OH | MEDICAID | 1153124 | 01 | KY | KY. PASSPORT HEALTH PLAN | OTHER | 368/000000202890 | 01 | KY | ANTHEM PRODUCTS | OTHER | 611395668 | 01 | KY | COMMONWEALTH HEALTH ADMIN | OTHER | 611395668 | 01 | KY | PREFERED HEALTH PLAN | OTHER | 611395668 | 01 | KY | HUMAMA | OTHER | P00972572 | 01 | KY | RAILROAD MEDICARE | OTHER | 611395668 | 01 | KY | SAGAMORE | OTHER | 64040942 | 01 | KY | KY. MEDICAID | OTHER | 611395668 | 01 | KY | BEECH STREET | OTHER |