Individual
KIMBERLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
(314) 367-2985
Mailing address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
(314) 367-2985
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2013007946
MO
213EP1101X
Primary Podiatric Medicine Podiatrist
1623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1539371-01
—
TX
Enumeration date
12/05/2006
Last updated
02/04/2016
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