Individual
WILLIAM P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 E 104TH ST, MAIL STOP 4000N, KANSAS CITY, MO 64131
(913) 485-2612
(816) 932-9670
Mailing address
901 E 104TH ST, MAILSTOP 4000N, KANSAS CITY, MO 64131-4517
(913) 485-2612
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-18173
KS
2085R0202X
Diagnostic Radiology Physician
G152671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195670D
—
KS
01
—
10221041
BCBS KANSAS CITY
MO
05
—
209187004
—
MO
Enumeration date
10/13/2006
Last updated
03/20/2025
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