Williams, Kenneth

Williams, Kenneth is an sole proprietor health care provider with primary practice located at 1938 Crescent Meadow Drive , Holly Springs MS 38635-3238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, Kenneth can be contacted via phone (662) 252-1599.

Contact Information

Primary practice address
1938 Crescent Meadow Drive Holly Springs MS 38635-3238
Phone: (662) 252-1599
Fax: (662) 252-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13813 Mississippi

Profile Details

NPI number 1851480974
LBN Legal business name Williams, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851480974 NPPES
Mississippi MEDICAID 0011155

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