Individual
MR. WILLIAM JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4375
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
31969
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208620B
—
KS
05
—
202548509
—
MO
Enumeration date
12/23/2005
Last updated
12/02/2020
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