Individual
MR. WILLIAM K ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PROSTHETIS
Contact information
Practice address
1735 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2435
(573) 635-0006
(573) 635-2228
Mailing address
1735 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2435
(573) 635-0006
(573) 635-2228
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CERTIFIED
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122475
BCBS PROVIDER#
MO
01
—
433956
HEALTHLINK PROVIDER#
MO
Enumeration date
06/15/2006
Last updated
11/08/2007
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