Individual
KIM GERARD WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1117641
TX
367500000X
Certified Registered Nurse Anesthetist
140611
MO
Other
Enumeration date
07/16/2009
Last updated
07/11/2023
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