Individual
KYLE ALEX WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5619 HAZEL AVE, PHILADELPHIA, PA 19143-1935
(215) 292-6624
Mailing address
5619 HAZEL AVE, PHILADELPHIA, PA 19143-1935
(215) 292-6624
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
PA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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