Provider Demographics
NPI:1396803748
Name:WILLIAMS, WRAY ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:WRAY
Middle Name:ROBERT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1215
Mailing Address - Country:US
Mailing Address - Phone:816-283-8400
Mailing Address - Fax:816-283-8400
Practice Address - Street 1:317 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-1215
Practice Address - Country:US
Practice Address - Phone:816-283-8400
Practice Address - Fax:816-283-8400
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000148597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor