Healthcare Provider Details

I. General information

NPI: 1346207438
Provider Name (Legal Business Name): WILLIAM DAVID GRAF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3090
  • Fax: 816-234-3589
Mailing address:
  • Phone: 816-234-3090
  • Fax: 816-234-3589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number2003020129
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: