Individual
DR. KENTON LEE MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 WARREN COUNTY CTR, WARRENTON, MO 63383-3023
(636) 456-5379
(636) 456-5410
Mailing address
404 ANGIE DR APT D, SAINT PETERS, MO 63376-6321
(314) 276-4897
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03461
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T03461
LICENSE #
MO
Enumeration date
08/10/2006
Last updated
07/21/2008
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