Individual
DR. CARL MARK WILLIAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, CARDIOTHORACIC ANESTHESIA DEPT, KANSAS CITY, MO 64111-3220
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
100072
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00283
MO FHP PROVIDER NUMBER
MO
01
—
050088893
MO RR MEDICARE NUMBER
MO
05
—
100138390F
—
MO
05
—
206947343
—
MO
01
—
20741071
MO BCBS PROVIDER NUMBER
MO
Enumeration date
05/19/2006
Last updated
07/09/2007
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