Individual
KEVIN LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-7346
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TP576
KY
208M00000X
Hospitalist Physician
Primary
40654
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475145
BCBS
KY
05
—
64126154
—
KY
01
—
LICENSE
TP576
KY
Enumeration date
07/05/2006
Last updated
03/11/2014
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