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Individual
MR. KENNETH LEE WILLIAMS
Active
Individual
MR. KENNETH LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD029673E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972635
—
PA
01
—
080103633
PALMETTO
—
01
—
110565
MED PLUS
PA
01
—
118477
BS
PA
01
—
25212101
UNIERA
—
Enumeration date
04/21/2006
Last updated
08/04/2021
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