Individual
KENNETH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
3361 GEN DE GAULLE DR, SUITE B, NEW ORLEANS, LA 70114-6701
(504) 367-5303
(504) 367-4071
Mailing address
3361 GEN DE GAULLE DR, SUITE B, NEW ORLEANS, LA 70114-6701
(504) 367-5303
(504) 367-4071
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14222R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10048
—
LA
Enumeration date
08/16/2005
Last updated
07/14/2009
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