Williams, Kathleen

Williams, Kathleen is an individual health care provider with primary practice located at 550 Memorial Cir Suite H, Ormond Beach FL 32174-5059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Williams, Kathleen can be contacted via phone (386) 672-0017.

Contact Information

Primary practice address
550 Memorial Cir Suite H Ormond Beach FL 32174-5059
Phone: (386) 672-0017
Fax: (386) 676-0506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME83315 Florida

Profile Details

NPI number 1083616965
LBN Legal business name Williams, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 9th, 2023 - about last year

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 1083616965 NPPES
Florida MEDICAID 268913800

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