Individual
MR. WILLIAM ASHLEY GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 STATE LINE RD, STE 100, PRAIRIE VILLAGE, KS 66208-3444
(913) 588-6600
(913) 588-6655
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6605
(913) 588-0888
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0413520
KS
207W00000X
Ophthalmology Physician
R4073
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121090B
—
KS
05
—
202860912
—
MO
Enumeration date
02/14/2006
Last updated
07/15/2014
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