Individual
KIMBERLY S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
42286 VETERANS AVE, HAMMOND, LA 70403-1423
(985) 902-8853
(985) 902-8854
Mailing address
42286 VETERANS AVE, HAMMOND, LA 70403-1423
(985) 902-8853
(985) 902-8854
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
025637
LA
246ZN0300X
Nephrology Specialist/Technologist
025637
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912059
—
AL
05
—
1018872
—
LA
01
—
3A414
MEDICARE
LA
01
—
51006924
BLUE CROSS OF ALABAMA
AL
Enumeration date
07/20/2006
Last updated
05/24/2024
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