Individual
MRS. KIMBERLEY ELISABETH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1901 WHIPPORWILL LN, KILGORE, TX 75662-3880
(903) 986-1972
Mailing address
404B S WHITE OAK RD, WHITE OAK, TX 75693-1524
(903) 374-1274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2060332
TX
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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