Williams, Kimberly

Williams, Kimberly is an individual health care provider with primary practice located at 5701 Delmar Blvd , Saint Louis MO 63112-2617. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Williams, Kimberly can be contacted via phone (314) 367-7848.

Contact Information

Primary practice address
5701 Delmar Blvd Saint Louis MO 63112-2617
Phone: (314) 367-7848
Fax: (314) 367-2985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1623 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2013007946 Missouri

Profile Details

NPI number 1093873721
LBN Legal business name Williams, Kimberly
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 4th, 2016 - 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 1093873721 NPPES
Texas MEDICAID 1539371-01

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