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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1972588788 | NPPES |
| Kansas | MEDICAID | 100295950D | |
| Kansas | MEDICAID | 004300100 |
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