Williams, Kimberly M

Williams, Kimberly M is an individual health care provider with primary practice located at 4502 Old Pass Rd , Gulfport MS 39501-2585. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Williams, Kimberly M can be contacted via phone (228) 863-9977.

Contact Information

Primary practice address
4502 Old Pass Rd Gulfport MS 39501-2585
Phone: (228) 863-9977
Fax: (228) 863-9912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R876822 Mississippi

Profile Details

NPI number 1235107004
LBN Legal business name Williams, Kimberly M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 7th, 2020 - about 5 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 1235107004 NPPES
Mississippi MEDICAID 07782252
Mississippi MEDICAID 001174200

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