Individual
DR. WILLIAM R JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, DEPT. OF SURGERY, MAIL STOP 1037, KANSAS CITY, KS 66160-0001
(913) 588-6112
(913) 588-7540
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-6112
(913) 588-7540
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
04-14880
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04606060
BCBS KANSAS CITY
MO
01
—
626150
FIRSTGUARD
KS
Enumeration date
09/20/2006
Last updated
07/09/2007
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