| Doctor Name: | KEVIN WILLIAMS |
| NPI Number: | 1104156488 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA07662800 |
| Business Practice Address: | 7855 Boulevard East 6j North Bergen, NJ - 07047 |
| Business Phone Number: | 6177449516 |
| Business Fax Number: | |
| Mailing Address: | 7855 Boulevard East, 6j NORTH BERGEN |
| State: | NJ |
| Postal Code: | 07047 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2010 |
| NPI Last Update Date: | 01/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA07662800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |