Provider Demographics
NPI:1316943475
Name:WINKELMEYER, WILLIAM KELLAR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KELLAR
Last Name:WINKELMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1205 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2125
Mailing Address - Country:US
Mailing Address - Phone:573-499-0642
Mailing Address - Fax:573-449-1787
Practice Address - Street 1:1205 W BROADWAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2125
Practice Address - Country:US
Practice Address - Phone:573-499-0642
Practice Address - Fax:573-449-1787
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO36326207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201823911Medicaid
MO116646OtherHEALTHLINK
MO19620OtherBLUE CROSS BLUE SHIELD
MO340001743OtherRAILROAD MEDICARE
MO1721OtherHEALTHCARE USA
MO000623655OtherHUMANA IND
MO23879OtherGROUP HEALTH PLANS
MO733581OtherFIRST HEALTH
MOA10329OtherMERCY
MO000623655OtherHUMANA IND
MO201823911Medicaid
MO733581OtherFIRST HEALTH
MOA10329Medicare UPIN