Individual
KATHY JO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5315 WALL ST STE 260, MADISON, WI 53718-7937
(608) 807-1600
(608) 467-1425
Mailing address
PO BOX 1239, TROY, MI 48099-1239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44105
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
44105
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34272200
—
WI
Enumeration date
09/25/2006
Last updated
05/08/2015
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