Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake Jerald Williamson, MD

Individual provider Family Medicine Physician · NPI 1710244124

Dr. Blake Jerald Williamson, MD is a Family Medicine Physician in Shawnee, Kansas. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14611 W 50th St
Shawnee, KS 66216-5116
Phone: (913) 248-1903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2003018093 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 04-23901 (KS)

Record details

NPI number1710244124
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 23, 2012
Mailing address14611 W 50th St, Shawnee, KS 66216-5116

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