Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 2021018094 | MO |
N | 2080P0203X | Pediatric Critical Care Doctor | 69681 | WI |
NPI | 1235512104 |
---|---|
Provider Name | Megan Elizabeth Williams |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65201-6626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2015 |
Last Update Date | 20/10/2021 |