Organization
DR. KENNETH WILLIAMS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH VAN WILLIAMS D.O. (OWNER)
(215) 548-2010
Entity
Organization
Contact information
Practice address
6101 LIMEKILN PIKE, MEDICAL SUITE, PHILADELPHIA, PA 19141-1432
(215) 548-2010
Mailing address
6101 LIMEKILN PIKE, PHILADELPHIA, PA 19141-1432
(215) 548-2010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008437L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016836460003
—
PA
Enumeration date
10/02/2006
Last updated
08/22/2020
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