Doctor Name: | KIMBERLY S WILLIAMS |
NPI Number: | 1174543193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 025637 |
Business Practice Address: | 397 Highway 21 Ste 601 Madisonville, LA - 704473407 |
Business Phone Number: | 9858459000 |
Business Fax Number: | 9858459003 |
Mailing Address: | 397 Highway 21, Ste 601 MADISONVILLE |
State: | LA |
Postal Code: | 704473407 |
Phone Number: | 9858459000 |
Fax Number: | 9858459003 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 025637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |