Individual
DR. WADE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7450 KESSLER ST STE 204, SHAWNEE MISSION, KS 66204-2553
(913) 632-9770
(913) 632-9799
Mailing address
7450 KESSLER ST STE 204, SHAWNEE MISSION, KS 66204-2553
(913) 632-9770
(913) 632-9799
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0423900
KS
207RP1001X
Pulmonary Disease Physician
Primary
0423900
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058661
BCBS KANSAS
KS
05
—
100285820B
—
KS
05
—
203876206
—
MO
01
—
24521076
BCBS KANSAS CITY
—
Enumeration date
09/30/2006
Last updated
06/14/2022
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