Individual
MR. KEVIN JOSEPH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
200 TRACY WAY, NORTHGATE BUSINESS PARK, CHARLESTON, WV 25311-1258
(304) 388-4900
(304) 388-4910
Mailing address
2 CLOVERLEAF CIR, MALDEN, WV 25306-6542
(304) 925-7605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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