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Organization
KENNETH L WILLIAMS D.D.S. P.A.
Active
Organization
KENNETH L WILLIAMS D.D.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L WILLIAMS D.D.S. (PRESIDENT)
(620) 431-3000
Entity
Organization
Contact information
Practice address
2607 S SANTA FE AVE, CHANUTE, KS 66720-3206
(620) 431-3000
(620) 431-6122
Mailing address
2607 S SANTA FE AVE, CHANUTE, KS 66720-3206
(620) 431-3000
(620) 431-6122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6093
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222900-A
—
KS
01
—
8522
BC/BS PROVIDER #
KS
Enumeration date
01/09/2006
Last updated
01/23/2014
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