Williams, Kathy Jo

Williams, Kathy Jo is an individual health care provider with primary practice located at 5315 Wall St Ste 260 , Madison WI 53718-7937. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Williams, Kathy Jo can be contacted via phone (608) 807-1600.

Contact Information

Primary practice address
5315 Wall St Ste 260 Madison WI 53718-7937
Fax: (608) 467-1425
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44105 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 44105 Wisconsin

Profile Details

NPI number 1083714240
LBN Legal business name Williams, Kathy Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 8th, 2015 - 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 1083714240 NPPES
Wisconsin MEDICAID 34272200

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