Individual
KENZIE D AUSTIN-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
16515 MERIDIAN E, PUYALLUP, WA 98375-6251
(253) 209-8535
Mailing address
1217 46TH AVE E, FIFE, WA 98424-1205
(425) 780-9282
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60019931
WA
Other
Enumeration date
11/16/2010
Last updated
07/08/2021
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