| Kenneth L Williams D.d.s. P.a. | |
|
2607 S Santa Fe Ave Chanute KS 66720-3206 | |
| (620) 431-3000 | |
| (620) 431-6122 |
| Full Name | Kenneth L Williams D.d.s. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2607 S Santa Fe Ave, Chanute, Kansas |
| Authorized Official Name and Position | Kenneth L Williams (PRESIDENT) |
| Authorized Official Contact | 6204313000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L Williams D.d.s. P.a. 2607 S Santa Fe Ave Chanute KS 66720-3206 Ph: (620) 431-3000 | Kenneth L Williams D.d.s. P.a. 2607 S Santa Fe Ave Chanute KS 66720-3206 Ph: (620) 431-3000 |
| NPI Number | 1033197090 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033197090 | NPI | - | NPPES |
| 100222900-A | Medicaid | KS | |
| 8522 | Other | KS | BC/BS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6093 (Kansas) | Primary |
David M Jones, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Main, Chanute, KS 66720 Phone: 562-043-1482 Fax: 620-431-6959 | |
Grant Gastineau, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Main St, Chanute, KS 66720 Phone: 620-431-4823 |