Provider Demographics
NPI:1326165606
Name:VENNART, WILLIAM CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CURTIS
Last Name:VENNART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13960 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3662
Mailing Address - Country:US
Mailing Address - Phone:913-681-7984
Mailing Address - Fax:
Practice Address - Street 1:13960 LINDEN LN
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66224-3662
Practice Address - Country:US
Practice Address - Phone:913-681-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42510207Q00000X
MOMD112172207Q00000X
KS04-26686207Q00000X
OK20563207Q00000X
IN01055598A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK20563OtherMEDICAL LICENSE
KS04-26686OtherMEDICAL LICENSE
MOMD112172OtherMEDICAL LICENSE
IN01055598AOtherMEDICAL LICENSE
FLME42518OtherMEDICAL LICENSE
IN01055598AOtherMEDICAL LICENSE