Williams, Kathleen Ann

Williams, Kathleen Ann is an individual health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Williams, Kathleen Ann can be contacted via phone (386) 231-1091.

Contact Information

Primary practice address
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167
Phone: (386) 231-1091
Fax: (386) 231-1092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0428411 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0428411 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME110163 Florida

Profile Details

NPI number 1972588788
LBN Legal business name Williams, Kathleen Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972588788 NPPES
Kansas MEDICAID 100295950D
Kansas MEDICAID 004300100

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