Individual
DR. DAWN D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1761
KS
152W00000X
Optometrist
OPT 2382
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200417960A
—
KS
01
—
650519
MEDICARE GROUP NUMBER
—
Enumeration date
09/27/2005
Last updated
05/24/2010
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