Individual
WILLIAM D WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4566
(913) 299-3700
(913) 299-3050
Mailing address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4526
(913) 299-3700
(913) 721-3316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0419164
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216770C
—
KS
05
—
100328810B
—
KS
Enumeration date
05/06/2006
Last updated
07/13/2010
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