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NPI Code Detail

MEDICARE: WILLIAM SIMMONS

MEDICARE: WILLIAM SIMMONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-24-379799

General Provider Information

NPI Number : 1790505840
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM SIMMONS
Provider Business Mailing Address
First Line : 9153 W 133RD ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-4333
Country : US
Telephone Number : 913-257-5185
Fax Number :
Provider Business Practice Location Address
First Line : 7500 W 161ST ST
Second Line :
City : STILWELL
State : KS
Zip : 66085-9387
Country : US
Telephone Number : 913-257-5185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 10/14/2024

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Directions to “ WILLIAM SIMMONS ” Practice Location

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