Individual
SAMUEL K WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 WILSON AVENUE DR SW, CEDAR RAPIDS, IA 52404-3755
(763) 339-8302
Mailing address
515 WILSON AVENUE DR SW, CEDAR RAPIDS, IA 52404-3755
(763) 339-8302
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1476937
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476937
—
ND
Enumeration date
02/05/2021
Last updated
11/01/2025
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