1043311293 NPI number — KENNETH B WILLIAMS MD

Table of content: KENNETH B WILLIAMS MD (NPI 1043311293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043311293 NPI number — KENNETH B WILLIAMS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
KENNETH
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043311293
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5465 C R 1725
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELK CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-516-7131
Provider Business Mailing Address Fax Number:
316-239-7179

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5465 C R 1725
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELK CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-516-7131
Provider Business Practice Location Address Fax Number:
316-239-7179
Provider Enumeration Date:
09/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  424626 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)