Doctor Name: | MR. WILLIAM KENNETH WILLIAMS |
NPI Number: | 1366560153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT1245 |
Business Practice Address: | 104 Honeysuckle Hills Dr Redfield, AR - 721329370 |
Business Phone Number: | 5013977698 |
Business Fax Number: | 5013977698 |
Mailing Address: | 104 Honeysuckle Hills Dr, REDFIELD |
State: | AR |
Postal Code: | 721329370 |
Phone Number: | 5013977698 |
Fax Number: | 5013977698 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT1245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |