Provider Demographics
NPI:1992401426
Name:WILLIAMS, REID HUNTER (DC)
Entity type:Individual
Prefix:MR
First Name:REID
Middle Name:HUNTER
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22120 MIDLAND DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3554
Mailing Address - Country:US
Mailing Address - Phone:913-745-4064
Mailing Address - Fax:913-350-5025
Practice Address - Street 1:505 S HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1850
Practice Address - Country:US
Practice Address - Phone:913-404-4101
Practice Address - Fax:913-350-5025
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS01-06249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor