Kenneth B Williams, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

424626 Issued in KS

Practice address

5465 C R 1725
Elk City, KS 67344

Phone

(316) 516-7131

Fax

(316) 239-7179

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Four County Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1841290251

  KS

  Medicare reassignment NPD
• Labette Center for Mental Health Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsons, KS
  • NPI 1770594756

  KS

  Medicare reassignment NPD
• Four County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1598845984
  NPD
• Dee'S Counseling LLC

  • Professional Counselor
  • Wichita, KS
  • NPI 1437519113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1043311293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 C R 1725",
            "city": "ELK CITY",
            "state": "KS",
            "postal_code": "67344",
            "telephone_number": "316-516-7131",
            "fax_number": "316-239-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 C R 1725",
            "city": "ELK CITY",
            "state": "KS",
            "postal_code": "67344",
            "telephone_number": "316-516-7131",
            "fax_number": "316-239-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "424626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.