Provider Demographics
NPI:1508813502
Name:EMMOT, WILLIAM W (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:W
Last Name:EMMOT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20805 W 151ST STREET
Mailing Address - Street 2:BUILDING 2 SUITE 400
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5353
Mailing Address - Country:US
Mailing Address - Phone:913-780-4900
Mailing Address - Fax:913-780-0949
Practice Address - Street 1:20805 W 151ST STREET
Practice Address - Street 2:BUILDING 2 SUITE 400
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5353
Practice Address - Country:US
Practice Address - Phone:913-780-4900
Practice Address - Fax:913-780-0949
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-09-13
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Provider Licenses
StateLicense IDTaxonomies
KS0415038207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100455240AMedicaid
KS3916599CMedicare PIN