Williams, Keary Robert

Williams, Keary Robert is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 310 , Knoxville TN 37923-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Williams, Keary Robert can be contacted via phone (865) 694-9676.

Contact Information

Primary practice address
9430 Park West Blvd Ste 310 Knoxville TN 37923-4203
Phone: (865) 694-9676
Fax: (865) 588-3742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD41529 Tennessee

Profile Details

NPI number 1912958059
LBN Legal business name Williams, Keary Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 29th, 2019 - about 7 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 1912958059 NPPES
Tennessee MEDICAID Q002888

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