Provider Demographics
NPI:1659110369
Name:EWERS, WILLIAM PAUL (PA-C)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PAUL
Last Name:EWERS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4384 CLEARWATER WAY STE 190
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6493
Mailing Address - Country:US
Mailing Address - Phone:859-403-3385
Mailing Address - Fax:
Practice Address - Street 1:4384 CLEARWATER WAY STE 190
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6493
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-396-5934
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA3527171400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171400000XOther Service ProvidersHealth & Wellness Coach