Individual
MR. WILLIAM FREDRICK PALMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT,MS
Contact information
Practice address
306 RECOVERY RD, KENNETT, MO 63857-3267
(573) 888-9190
(573) 888-9404
Mailing address
306 RECOVERY RD, KENNETT, MO 63857-3267
(573) 888-9190
(573) 888-9404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R0582
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120210
GROUP # FOR BC/BS
MO
01
—
1873945
GROUP # FOR FIRST HEALTH
MO
01
—
410490
GROUP # FOR HEALTHLINK
MO
Enumeration date
05/05/2006
Last updated
07/09/2007
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