Williams, Kenneth A.
Williams, Kenneth A. is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Williams, Kenneth A. can be contacted via phone (401) 519-1604.Contact Information
Primary practice address
593 Eddy St Claverick 2
Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 58081 | Massachusetts |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD 09381 | Rhode Island |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 58081 | Massachusetts |
Profile Details
NPI number | 1316953458 |
---|---|
LBN Legal business name | Williams, Kenneth A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | May 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316953458 | NPPES |
Rhode Island | Other | 939025129 | RI MEDICARE GROUP NUMBER |
Rhode Island | Other | 04/15/2009 | RI MEDICARE GROUP NUMBER |
Rhode Island | Other | P00401949 | RI MEDICARE GROUP NUMBER |
Rhode Island | Other | 12/29/2008 | RI MEDICARE GROUP NUMBER |
Rhode Island | MEDICAID | 7005716 | RI MEDICARE GROUP NUMBER |
Rhode Island | Other | 04/01/2007 | RI MEDICARE GROUP NUMBER |
Rhode Island | Other | 11/12/2009 | RI MEDICARE GROUP NUMBER |
Rhode Island | Other | 1316953458 | RI MEDICARE GROUP NUMBER |
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