Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 0438987 | KS |
Y | 2080P0214X | Pediatric Pulmonologist | 2014018537 | MO |
NPI | 1275845059 |
---|---|
Provider Name | Dr. Jade B. Tam-Williams |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 11/07/2016 |