| Doctor Name: | KEVIN JAMES WILLIAMS |
| NPI Number: | 1790126910 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | RN00175612 |
| Business Practice Address: | 109 Peoney Creek Rd Tonasket, WA - 988559510 |
| Business Phone Number: | 5094861260 |
| Business Fax Number: | 8666264289 |
| Mailing Address: | 109 Peoney Creek Rd, TONASKET |
| State: | WA |
| Postal Code: | 988559510 |
| Phone Number: | 5094861260 |
| Fax Number: | 8666264289 |
| NPI Enumeration Date: | 07/16/2013 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN00175612 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |