Provider Demographics
NPI:1710021464
Name:WILLING, KAREN L (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:WILLING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7920 WARD PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2017
Mailing Address - Country:US
Mailing Address - Phone:816-326-8351
Mailing Address - Fax:816-326-8356
Practice Address - Street 1:7920 WARD PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2017
Practice Address - Country:US
Practice Address - Phone:816-326-8351
Practice Address - Fax:816-326-8356
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2011-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01606103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
19469017OtherBCBSKC INDIVIDUAL #
MO1710021464Medicare PIN
P08523Medicare UPIN