Individual
KIMBLEY S WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4407 WIMBISH DR, BAKER, LA 70714-2449
(225) 828-2109
Mailing address
4407 WIMBISH DR, BAKER, LA 70714-2449
(225) 828-2109
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007742681
LA
Other
Enumeration date
07/09/2024
Last updated
07/30/2024
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