SearchKansas207Q00000X

Blake Williamson, MD

NPI 1710244124 · on the registry since 2012 · sole proprietor

Practice

Address
14611 W 50th St
Shawnee, KS 66216
Phone
(913) 248-1903

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas