Individual
DR. KENNETH BRIAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1932 NILES CORTLAND RD NE STE C, WARREN, OH 44484-1055
(330) 306-0395
(330) 856-5887
Mailing address
1932 NILES CORTLAND RD NE STE C, WARREN, OH 44484-1055
(330) 306-0395
(330) 856-5887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34-00-3579-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134193
ANTHEM
OH
01
—
000000174101
UNISON ADVANTAGE
OH
05
—
0675676
—
OH
01
—
0901144
AETNA
OH
01
—
127925100
DEPT OF LABOR
OH
01
—
1369579
UMWA
OH
01
—
341568332-00
BWC
OH
Enumeration date
01/11/2006
Last updated
01/31/2019
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