Individual
KEVIN JON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4600
(215) 707-5599
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-4600
(215) 707-5599
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD043247E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022944020001
—
PA
Enumeration date
06/01/2009
Last updated
05/12/2016
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