Individual
DR. WILLARD B RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1418 S MAIN ST, SUITE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-3825
Mailing address
1418 S MAIN ST, SUITE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-3825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-18458
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01308
KANSAS BLUE CROSS BLUE SH
KY
01
—
13777014
KANSAS CITY BC/BS
KS
01
—
3211285002
CIGNA PROVIDER NUMBER
KS
01
—
4630851
AETNA
KS
01
—
610221
HEALTHWAVE
KS
Enumeration date
06/24/2006
Last updated
11/19/2007
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