Williams, Kevin G
Williams, Kevin G is an individual health care provider with primary practice located at 320 Keystone Ave , Peckville PA 18452-2242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, Kevin G can be contacted via phone (570) 489-0871.Contact Information
Primary practice address
320 Keystone Ave
Peckville PA 18452-2242
Phone: (570) 489-0871
Fax: (570) 489-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD040444E | Pennsylvania |
Profile Details
| NPI number | 1750361168 |
|---|---|
| LBN Legal business name | Williams, Kevin G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Feb 10th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750361168 | NPPES |
| Pennsylvania | MEDICAID | 001162219 |
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