Provider Demographics
NPI:1801897020
Name:KAPP, WILLIAM KARL (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KARL
Last Name:KAPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:240 SOUTH MOUNT AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4918
Mailing Address - Country:US
Mailing Address - Phone:573-335-1091
Mailing Address - Fax:573-331-8071
Practice Address - Street 1:3255 INDEPENCENCE ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4914
Practice Address - Country:US
Practice Address - Phone:573-335-1091
Practice Address - Fax:573-331-8071
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2015-06-17
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Provider Licenses
StateLicense IDTaxonomies
MO106440207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E37075Medicare UPIN
MO000004566Medicare PIN