Williams, Kisha

Williams, Kisha is an sole proprietor health care provider with primary practice located at 2530 S Commerce St , Ardmore OK 73401-5519. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Williams, Kisha can be contacted via phone (580) 319-7305.

Contact Information

Primary practice address
2530 S Commerce St Ardmore OK 73401-5519
Fax: (580) 319-7328
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1477071348
LBN Legal business name Williams, Kisha
Credentials CASE MANAGER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2017
Last updated Aug 31st, 2017 - about 9 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 1477071348 NPPES
Ohio MEDICAID 100728830

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